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JACOB SAMUEL BLITSTEIN
NPI 1346915378
Student in an Organized Health Care Education/Training Program in Stockton, CA

Active since August 11, 2021PECOS Enrolled
1800 N CALIFORNIA ST., STOCKTON, CA 95204(209) 547-5941 Get Directions Write a Review

NPPES record last updated: July 28, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 25, 2024, Jul 28, 2022, Aug 11, 2021 (3 updates tracked since 2021).

About Jacob Samuel Blitstein NPPES

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

JACOB SAMUEL BLITSTEIN (NPI 1346915378) is an individual student in an organized health care education/training program in Stockton, California and active in the NPI registry since August 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1346915378
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJACOB SAMUEL BLITSTEIN
Location Address1800 N CALIFORNIA ST.Stockton, CA 95204
Mailing Address1800 N California St.Stockton, CA 95204 · (209) 547-5941
Phone(209) 547-5941
Sole ProprietorYes
Enumeration DateAugust 11, 2021
Last NPPES UpdateJuly 28, 20223 updates tracked since enumeration
NPPES CertifiedJuly 28, 2022
✔ NPI 1346915378 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedRehabilitation UnitTaxonomy 273Y00000X
1800 N CALIFORNIA ST., Stockton, CA 95204
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Other Identifiers 2

OtherS01294832CA · Student Health Insurance Plan (wellfleet Insurance Company)
OtherS01294832Student. Health Insurance Plan (wellfleet Insurance Company)

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacob Samuel Blitstein 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.

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 Blitstein's NPI number?

The NPI number for Jacob Blitstein is 1346915378. It was assigned to this individual provider in the NPPES registry on August 11, 2021.

Where is Jacob Blitstein located?

Jacob Blitstein practices at 1800 N California St., Stockton, CA 95204. The listed phone number is (209) 547-5941.

What is Jacob Blitstein's specialty?

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

Is Jacob Blitstein enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jacob Blitstein was last updated on July 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.