MR. JACOB OTIS
NPI 1245697952
Student in an Organized Health Care Education/Training Program in San Francisco, CA

Q: What is Jacob Otis's NPI number?

The NPI number for Jacob Otis is 1245697952. It was assigned to this individual provider in the NPPES registry on January 26, 2016.

Q: What is Jacob Otis's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Jacob Otis was last updated on January 26, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since January 26, 2016

1765 PACIFIC AVE APT 5, SAN FRANCISCO, CA 94109(714) 418-8264 Get Directions Write a Review

NPPES record last updated: January 26, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mr. Jacob Otis NPPES

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

MR. JACOB OTIS (NPI 1245697952) is an individual student in an organized health care education/training program in San Francisco, California and active in the NPI registry since January 2016.

NPPES Registry Identity

NPI1245697952

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameMR. JACOB OTIS

Location Address1765 PACIFIC AVE APT 5San Francisco, CA 94109-2441

Mailing Address1765 Pacific Ave Apt 5San Francisco, CA 94109-2441 · (714) 418-8264

Phone(714) 418-8264

Sole ProprietorYes

Enumeration DateJanuary 26, 2016

✔ NPI 1245697952 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1765 PACIFIC AVE APT 5, San Francisco, CA 94109

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

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 Otis's NPI number?

The NPI number for Jacob Otis is 1245697952. It was assigned to this individual provider in the NPPES registry on January 26, 2016.

Where is Jacob Otis located?

Jacob Otis practices at 1765 Pacific Ave Apt 5, San Francisco, CA 94109. The listed phone number is (714) 418-8264.

What is Jacob Otis's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

What insurance does Jacob Otis accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HRI Dental & Vision and 4 other insurers list Jacob Otis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jacob Otis was last updated on January 26, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.