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DR. JACOB JOHN FAKOORY M.D.
NPI 1134160609
Emergency Medicine in Glendale, CA

Active since June 08, 2006PECOS Enrolled
1420 S CENTRAL AVE, GLENDALE, CA 91204(818) 502-2344(818) 502-4501 Get Directions Write a Review

NPPES record last updated: February 28, 2008. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Dr. Jacob John Fakoory M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JACOB JOHN FAKOORY M.D. (NPI 1134160609) is an individual emergency medicine provider in Glendale, California, licensed in California (C39375) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1134160609
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. JACOB JOHN FAKOORYCredential: M.D.
Location Address1420 S CENTRAL AVEGlendale, CA 91204-2508
Mailing Address1227 Arno DrSierra Madre, CA 91024-1568 · (626) 355-8121 · Fax (626) 355-8987
Phone(818) 502-2344
Fax(818) 502-4501
Sole ProprietorNo
Enumeration DateJune 8, 2006
Last NPPES UpdateFebruary 28, 2008
✔ NPI 1134160609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in CA · C39375
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1420 S CENTRAL AVE, Glendale, CA 91204
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Other Identifiers 5

Medicare ID-Type UnspecifiedWC39375CA
Medicare PINWC39375DCA
Medicaid00C393750CA
Medicare PINWC39375ICA
Medicare UPINA89077CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jacob John Fakoory M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91204 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELOISE KOWAL SLP
Speech-Language Pathologist
1420 S CENTRAL AVE
GLENDALE, CA 91204
Los Angeles County (818) 502-1900
GREGORY G LARA MD INC
Anesthesiology
1420 S CENTRAL AVE
GLENDALE, CA 91204
Los Angeles County (818) 502-1900
DR. JOSIAH FRIEDLANDER M.D.
Emergency Medicine
1420 S CENTRAL AVE
GLENDALE, CA 91204
Los Angeles County (818) 502-2344
MS. CAROLYN TORRES
Student in an Organized Health Care Education/Training Program
1420 S CENTRAL AVE
GLENDALE, CA 91204
Los Angeles County (818) 502-1900
HEATHER HARTSHORN PT
Physical Therapist
1420 S CENTRAL AVE
GLENDALE, CA 91204
Los Angeles County (818) 502-2330
ALLEN BEST, M.D., INC.
Anesthesiology
1420 S CENTRAL AVE
GLENDALE, CA 91204
Los Angeles County (818) 502-1900
ROY H. MOFFATT, M.D., INC
Pathology (Anatomic Pathology & Clinical Pathology)
1420 S CENTRAL AVE
GLENDALE, CA 91204
Los Angeles County (818) 502-2321
ARISTOTLE NOBLEZA ARIOLA
Registered Nurse (Psychiatric/Mental Health, Adult)
1420 S CENTRAL AVE
GLENDALE, CA 91204
Los Angeles County (818) 502-2362

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacob Fakoory's NPI number?

The NPI number for Jacob Fakoory is 1134160609. It was assigned to this individual provider in the NPPES registry on June 8, 2006.

Where is Jacob Fakoory located?

Jacob Fakoory practices at 1420 S Central Ave, Glendale, CA 91204. The listed phone number is (818) 502-2344.

What is Jacob Fakoory's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Jacob Fakoory enrolled in Medicare?

Yes. Jacob Fakoory is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jacob Fakoory was last updated on February 28, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.