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DR. ALEXANDRA ALYSSA JACOBS DPM
NPI 1265016612
Podiatrist - Foot & Ankle Surgery in Fullerton, CA

Active since May 11, 2021PECOS Enrolled
300 N EUCLID ST, FULLERTON, CA 92832(714) 888-6860 Get Directions Write a Review

NPPES record last updated: June 28, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 28, 2024, May 11, 2021 (2 updates tracked since 2021).

About Dr. Alexandra Alyssa Jacobs Dpm NPPES

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

DR. ALEXANDRA ALYSSA JACOBS DPM (NPI 1265016612) is an individual foot & ankle surgery provider in Fullerton, California, licensed in California (E6062) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265016612
Entity TypeIndividualFemale
Primary Taxonomy213ES0103X
Provider Legal NameDR. ALEXANDRA ALYSSA JACOBSCredential: DPM
Location Address300 N EUCLID STFullerton, CA 92832-1623
Mailing Address300 N Euclid StFullerton, CA 92832-1623 · (714) 888-6860
Phone(714) 888-6860
Sole ProprietorNo
Enumeration DateMay 11, 2021
Last NPPES UpdateJune 28, 20242 updates tracked since enumeration
NPPES CertifiedJune 12, 2024
✔ NPI 1265016612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in CA · E6062
300 N EUCLID ST, Fullerton, CA 92832
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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. Alexandra Alyssa Jacobs Dpm 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.

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.

MS. SERRA EUGENIE PARK RYU D.P.M.
Podiatrist
300 N EUCLID ST, SUITE A
FULLERTON, CA 92832
Orange County (714) 888-6860
TAM NGUYEN
Podiatrist (Foot & Ankle Surgery)
300 N EUCLID ST
FULLERTON, CA 92832
Orange County (714) 888-6860
ALCAM MEDICAL INC
Prosthetic/Orthotic Supplier
300 N EUCLID ST
FULLERTON, CA 92832
Orange County (866) 847-7187
DR. STEPHANIE J NANSON DPM
Podiatrist (Foot & Ankle Surgery)
300 N EUCLID ST, SUITE A
FULLERTON, CA 92832
Orange County (714) 888-6860
DR. JONATHAN IAN BENNETT D.P.M.
Podiatrist (Foot & Ankle Surgery)
300 N EUCLID ST, SUITE A
FULLERTON, CA 92832
Orange County (714) 888-6860
ORANGE COUNTY FOOT AND ANKLE GROUP, INC.
Podiatrist (Foot & Ankle Surgery)
300 N EUCLID ST, SUITE A
FULLERTON, CA 92832
Orange County (714) 888-6860
DR. COREY M LEJEUNE DPM
Podiatrist (Foot & Ankle Surgery)
300 N EUCLID ST, SUITE A
FULLERTON, CA 92832
Orange County (714) 888-6860

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 Alexandra Jacobs's NPI number?

The NPI number for Alexandra Jacobs is 1265016612. It was assigned to this individual provider in the NPPES registry on May 11, 2021.

Where is Alexandra Jacobs located?

Alexandra Jacobs practices at 300 N Euclid St, Fullerton, CA 92832. The listed phone number is (714) 888-6860.

What is Alexandra Jacobs's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Alexandra Jacobs enrolled in Medicare?

Yes. Alexandra Jacobs is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Alexandra Jacobs was last updated on June 28, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.