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ILIAS JACOB
NPI 1376220475
Rehabilitation Practitioner in San Jose, CA

Active since June 29, 2023
438 N WHITE RD, SAN JOSE, CA 95127(408) 254-6828 Get Directions Write a Review

NPPES record last updated: July 3, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ilias Jacob NPPES

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

ILIAS JACOB (NPI 1376220475) is an individual rehabilitation practitioner in San Jose, California and active in the NPI registry since June 2023.

NPPES Registry Identity

NPI1376220475
Entity TypeIndividualMale
Primary Taxonomy225400000X
Provider Legal NameILIAS JACOB
Location Address438 N WHITE RDSan Jose, CA 95127-1439
Mailing Address1922 The Alameda Ste 316San Jose, CA 95126-1461 · (408) 261-7777
Phone(408) 254-6828
Sole ProprietorNo
Enumeration DateJune 29, 2023
Last NPPES UpdateJuly 3, 2025
NPPES CertifiedJuly 3, 2025
✔ NPI 1376220475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225400000X
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
438 N WHITE RD, San Jose, CA 95127
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Other Providers at the Same Location NPPES 20

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

BELIA MANUELA MARTINEZ
Rehabilitation Practitioner
438 N WHITE RD
SAN JOSE, CA 95127
Santa Clara County (619) 319-2180
TARAH LAUREN APODACA
Rehabilitation Practitioner
438 N WHITE RD
SAN JOSE, CA 95127
Santa Clara County (408) 254-6848
MR. FODAY PRINCE LEBBIE
Case Manager/Care Coordinator
438 N WHITE RD, ALLIANCE FOR COMMUNITY CARE SERVICE TEAM OUTPATIENT
SAN JOSE, CA 95127
Santa Clara County (408) 254-6828
MR. SOKHA LIM DOK
Rehabilitation Practitioner
438 N WHITE RD
SAN JOSE, CA 95127
Santa Clara County (408) 254-6828
FRANCISCO MARTINEZ
Peer Specialist
438 N WHITE RD
SAN JOSE, CA 95127
Santa Clara County (408) 254-6828
EDWIN RAUL MIRANDA
Case Manager/Care Coordinator
438 N WHITE RD
SAN JOSE, CA 95127
Santa Clara County (408) 254-6848
MOMENTUM FOR HEALTH
Psychologist
438 N WHITE RD
SAN JOSE, CA 95127
Santa Clara County (408) 510-6284
MS. TEODORA A GOLTIAO PSYCH TECHNICIAN
Licensed Psychiatric Technician
438 N WHITE RD, ALLIANCE FOR COMMUNITY CARE SERVICE TEAM ADULT OUTPATI
SAN JOSE, CA 95127
Santa Clara County (408) 254-6828

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 Ilias Jacob's NPI number?

The NPI number for Ilias Jacob is 1376220475. It was assigned to this individual provider in the NPPES registry on June 29, 2023.

Where is Ilias Jacob located?

Ilias Jacob practices at 438 N White Rd, San Jose, CA 95127. The listed phone number is (408) 254-6828.

What is Ilias Jacob's specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

When was this NPI record last updated?

The NPPES record for Ilias Jacob was last updated on July 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.