RUSSELL F JACOBY MD
NPI 1700852878
Internal Medicine - Gastroenterology in Cameron Park, CA

Q: What is Russell Jacoby's NPI number?

The NPI number for Russell Jacoby is 1700852878. It was assigned to this individual provider in the NPPES registry on February 27, 2006.

Q: What is Russell Jacoby's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Russell Jacoby was last updated on February 4, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since February 27, 2006

3108 PONTE MORINO DRIVE, PALMER PROFESSIONAL CENTRE SUITE 230, CAMERON PARK, CA 95682(530) 672-2701(530) 672-9097 Get Directions Write a Review

NPPES record last updated: February 4, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Russell F Jacoby Md NPPES

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

RUSSELL F JACOBY MD (NPI 1700852878) is an individual gastroenterology provider in Cameron Park, California, licensed in Wisconsin (32200) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1700852878

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameRUSSELL F JACOBYCredential: MD

Location Address3108 PONTE MORINO DRIVE, PALMER PROFESSIONAL CENTRE SUITE 230Cameron Park, CA 95682-5022

Mailing Address3108 Ponte Morino Drive, Palmer Professional Centre Suite 230Cameron Park, CA 95682-5022 · (530) 672-2701 · Fax (530) 672-9097

Phone(530) 672-2701

Fax(530) 672-9097

Sole ProprietorYes

Enumeration DateFebruary 27, 2006

Last NPPES UpdateFebruary 4, 2008

✔ NPI 1700852878 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

Licenses✔ Licensed in WI · 32200✔ Licensed in CA · G86695✔ Licensed in IL · 36071501

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

3108 PONTE MORINO DRIVE, Cameron Park, CA 95682

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Other Identifiers 2

Medicaid31708100WI

Medicare UPINC43856

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 Russell Jacoby's NPI number?

The NPI number for Russell Jacoby is 1700852878. It was assigned to this individual provider in the NPPES registry on February 27, 2006.

Where is Russell Jacoby located?

Russell Jacoby practices at 3108 Ponte Morino Drive Palmer Professional Centre Suite 230, Cameron Park, CA 95682. The listed phone number is (530) 672-2701.

What is Russell Jacoby's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

When was this NPI record last updated?

The NPPES record for Russell Jacoby was last updated on February 4, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.