VIVIAN JACOBO
NPI 1255214359
Specialist/Technologist - Athletic Trainer in Glendale, AZ

Q: What is Vivian Jacobo's NPI number?

The NPI number for Vivian Jacobo is 1255214359. It was assigned to this individual provider in the NPPES registry on July 28, 2025.

Q: What is Vivian Jacobo's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

Q: When was this NPI record last updated?

The NPPES record for Vivian Jacobo was last updated on July 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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 July 28, 2025

1 W FIRESTORM WAY, GLENDALE, AZ 85306(602) 489-5300 Get Directions Write a Review

NPPES record last updated: July 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Vivian Jacobo NPPES

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

VIVIAN JACOBO (NPI 1255214359) is an individual athletic trainer provider in Glendale, Arizona, licensed in Arizona (ATR-100217) and active in the NPI registry since July 2025.

NPPES Registry Identity

NPI1255214359

Entity TypeIndividualFemale

Primary Taxonomy2255A2300X

Provider Legal NameVIVIAN JACOBO

Location Address1 W FIRESTORM WAYGlendale, AZ 85306-3216

Mailing Address49128 Pluma Gris PlCoachella, CA 92236-5485

Phone(602) 489-5300

Sole ProprietorNo

Enumeration DateJuly 28, 2025

NPPES CertifiedJuly 28, 2025

✔ NPI 1255214359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2255A2300X

License✔ Licensed in AZ · ATR-100217

Definition

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.

1 W FIRESTORM WAY, Glendale, AZ 85306

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Other Providers at the Same Location NPPES 7

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

MRS. MELISSA ANN INGRAHAM LPC, LMHC

Counselor (Professional)