FATIMA JACOBO - NPI 1366364788 - Dental Hygienist in Jackson, CA

Q: What is Fatima Jacobo's NPI number?

The NPI number for Fatima Jacobo is 1366364788. It was assigned to this individual provider in the NPPES registry on July 28, 2026.

Q: What is Fatima Jacobo's specialty?

The primary specialty registered for this NPI is Dental Hygienist with taxonomy code 124Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Fatima Jacobo was last updated on July 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.

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About Fatima Jacobo NPPES

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

FATIMA JACOBO (NPI 1366364788) is an individual dental hygienist in Jackson, California, licensed in California (30247) and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1366364788

Entity TypeIndividualFemale

Primary Taxonomy124Q00000X

Provider Legal NameFATIMA JACOBO

Location Address12150 NEW YORK RANCH RDJackson, CA 95642-9407

Mailing AddressPo Box 939Angels Camp, CA 95222-0939

Phone(209) 257-2400

Sole ProprietorYes

Enumeration DateJuly 28, 2026

NPPES CertifiedJuly 28, 2026

✔ NPI 1366364788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDental HygienistDental Providers

Taxonomy Code124Q00000X

License✔ Licensed in CA · 30247

Definition

An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.

12150 NEW YORK RANCH RD, Jackson, CA 95642

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Other Providers at the Same Location NPPES 15

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

SHARON THAO VI TU DMD

Dentist (General Practice)