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DR. LISA JACOBS M.D.
NPI 1376937367
Pediatrics in Fountain Valley, CA

Active since March 27, 2015PECOS Enrolled
17100 EUCLID STREET, PICU, FOUNTAIN VALLEY, CA 92708(714) 966-7253(714) 966-3354 Get Directions Write a Review

NPPES record last updated: April 24, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 24, 2019, Apr 11, 2019 (2 updates tracked since 2019).

About Dr. Lisa Jacobs M.d. NPPES

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

DR. LISA JACOBS M.D. (NPI 1376937367) is an individual pediatrics provider in Fountain Valley, California, licensed in California (A149687) and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376937367
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. LISA JACOBSCredential: M.D.
Location Address17100 EUCLID STREET, PICUFountain Valley, CA 92708
Mailing Address757 Westwood Plaza, B711, RrumcLos Angeles, CA 90095-7419 · (310) 267-9129
Phone(714) 966-7253
Fax(714) 966-3354
Sole ProprietorNo
Enumeration DateMarch 27, 2015
Last NPPES UpdateApril 24, 20192 updates tracked since enumeration
✔ NPI 1376937367 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · A149687
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
17100 EUCLID STREET, PICU, Fountain Valley, CA 92708
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Lisa Jacobs M.d. 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.

Medicare Billing Reassignments

3

Medicare enrollment records show Lisa Jacobs reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

County Of Los Angeles Auditor Controller
16 mi
Clinic/Center
10005 FLOWER ST
Bellflower, CA 90706
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: County Of Los Angeles
  • 1,939 clinicians in this Medicare group
NPI 1689695892 (310) 518-8803
Cottage Clinical Associates
114 mi
Multi-Specialty
400 W PUEBLO ST
Santa Barbara, CA 93105
  • Reassigned Medicare billing, California enrollment
  • 104 clinicians in this Medicare group
NPI 1235790544 (805) 682-7111
Cottage Medical Foundation
114 mi
Clinic/Center
400 W PUEBLO ST
Santa Barbara, CA 93105
  • Reassigned Medicare billing, California enrollment
  • 157 clinicians in this Medicare group
NPI 1770352130 (805) 682-7111

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92708 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

DR. NATALIE H DARRO DO
Pediatrics (Pediatric Critical Care Medicine)
17100 EUCLID STREET, PICU
FOUNTAIN VALLEY, CA 92708
Orange County (714) 966-7253

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 Lisa Jacobs's NPI number?

The NPI number for Lisa Jacobs is 1376937367. It was assigned to this individual provider in the NPPES registry on March 27, 2015.

Where is Lisa Jacobs located?

Lisa Jacobs practices at 17100 Euclid Street, Picu, Fountain Valley, CA 92708. The listed phone number is (714) 966-7253.

What is Lisa Jacobs's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Lisa Jacobs enrolled in Medicare?

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

Which organizations bill Medicare for Lisa Jacobs's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Jacobs reassigns Medicare benefits to 3 organizations: County Of Los Angeles Auditor Controller (Bellflower, CA), Cottage Clinical Associates (Santa Barbara, CA) and Cottage Medical Foundation (Santa Barbara, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lisa Jacobs's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Lisa Jacobs was last updated on April 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.