MRS. AMY ANN JACOBSON N.P.
NPI 1619146503
Nurse Practitioner - Adult Health in Los Angeles, CA

Q: What is Amy Jacobson's NPI number?

The NPI number for Amy Jacobson is 1619146503. It was assigned to this individual provider in the NPPES registry on February 25, 2008.

Q: What is Amy Jacobson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Amy Jacobson was last updated on November 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since February 25, 2008PECOS Enrolled

100 MEDICAL PLAZA, SUITE 630, LOS ANGELES, CA 90095(310) 825-9011(310) 825-9012 Get Directions Write a Review

NPPES record last updated: November 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 12, 2025, Dec 26, 2019 (2 updates tracked since 2019).

On this page

About Mrs. Amy Ann Jacobson N.p. NPPES

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

MRS. AMY ANN JACOBSON N.P. (NPI 1619146503) is an individual adult health provider in Los Angeles, California, licensed in California (17594) and active in the NPI registry since February 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619146503

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameMRS. AMY ANN JACOBSONCredential: N.P.

Location Address100 MEDICAL PLAZA, SUITE 630Los Angeles, CA 90095-0001

Mailing Address200 Ucla Medical Plz Ste 120Los Angeles, CA 90095-8344 · (310) 794-0242

Phone(310) 825-9011

Fax(310) 825-9012

Sole ProprietorNo

Enumeration DateFebruary 25, 2008

Last NPPES UpdateNovember 12, 20252 updates tracked since enumeration

NPPES CertifiedNovember 12, 2025

✔ NPI 1619146503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in CA · 17594

100 MEDICAL PLAZA, Los Angeles, CA 90095

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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)

Mrs. Amy Ann Jacobson N.p. 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 90095 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 5

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

MINA W MA MD

Internal Medicine

100 MEDICAL PLAZA, #290,450,455,
LOS ANGELES, CA 90095

Los Angeles County (310) 315-8920

MISS KATRINA MANJA WHALEN ACNP-BC

Nurse Practitioner (Acute Care)

100 MEDICAL PLAZA, SUITE 700
LOS ANGELES, CA 90095

Los Angeles County (310) 825-9111

DR. SONAL KRISTIN SINGH MD

Student in an Organized Health Care Education/Training Program

100 MEDICAL PLAZA
LOS ANGELES, CA 90095

Los Angeles County (714) 213-6613

ALEXANDER TARLOCHAN SANDHU MD

Internal Medicine (Advanced Heart Failure and Transplant Cardiology)

100 MEDICAL PLAZA, SUITE 630
LOS ANGELES, CA 90095

Los Angeles County (310) 825-9011

GARRETT SALZMAN MD

Surgery

100 MEDICAL PLAZA, SUITE 700
LOS ANGELES, CA 90095

Los Angeles County (310) 206-0367

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 Amy Jacobson's NPI number?

The NPI number for Amy Jacobson is 1619146503. It was assigned to this individual provider in the NPPES registry on February 25, 2008.

Where is Amy Jacobson located?

Amy Jacobson practices at 100 Medical Plaza Suite 630, Los Angeles, CA 90095. The listed phone number is (310) 825-9011.

What is Amy Jacobson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Amy Jacobson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Amy Jacobson was last updated on November 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.