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ALAN KENNETH JACOBSON M.D.
NPI 1417047937
Internal Medicine - Cardiovascular Disease in Loma Linda, CA

Active since October 13, 2006PECOS Enrolled
11201 BENTON STREET, RESEARCH SERVICE (151), LOMA LINDA, CA 92354(909) 583-6050(909) 796-4508 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Alan Kenneth Jacobson M.d. NPPES

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

ALAN KENNETH JACOBSON M.D. (NPI 1417047937) is an individual cardiovascular disease provider in Loma Linda, California, licensed in California (G48891) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417047937
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameALAN KENNETH JACOBSONCredential: M.D.
Location Address11201 BENTON STREET, RESEARCH SERVICE (151)Loma Linda, CA 92354
Mailing Address11696 Largo CtLoma Linda, CA 92354-3973 · (909) 583-6050 · Fax (909) 796-4508
Phone(909) 583-6050
Fax(909) 796-4508
Sole ProprietorNo
Enumeration DateOctober 13, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1417047937 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in CA · G48891
Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

11201 BENTON STREET, Loma Linda, CA 92354
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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)

Alan Kenneth Jacobson 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92354 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
$136.04 typical visit price
range $59.60 – $179.42
Typical copayment $34.01 (range $14.90 – $44.85)
Most-billed visit code 99204
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
Most-billed visit code 99213
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.

WESLEY BENJAMIN MARQUIS PT DPT
Physical Therapist
11201 BENTON STREET
LOMA LINDA, CA 92354
San Bernardino County (909) 825-7084

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 Alan Jacobson's NPI number?

The NPI number for Alan Jacobson is 1417047937. It was assigned to this individual provider in the NPPES registry on October 13, 2006.

Where is Alan Jacobson located?

Alan Jacobson practices at 11201 Benton Street Research Service (151), Loma Linda, CA 92354. The listed phone number is (909) 583-6050.

What is Alan Jacobson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Alan Jacobson enrolled in Medicare?

Yes. Alan Jacobson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Alan Jacobson was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.