DR. MARK EDWIN JACOBSON MD
NPI 1770509002
Ophthalmology in Santa Rosa, CA

Q: What is Mark Jacobson's NPI number?

The NPI number for Mark Jacobson is 1770509002. It was assigned to this individual provider in the NPPES registry on July 13, 2006.

Q: What is Mark Jacobson's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: When was this NPI record last updated?

The NPPES record for Mark Jacobson was last updated on December 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 July 13, 2006

1260 N DUTTON AVE STE 160, SANTA ROSA, CA 95401(707) 524-2442(707) 524-2438 Get Directions Write a Review

NPPES record last updated: December 22, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Mark Edwin Jacobson Md NPPES

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

DR. MARK EDWIN JACOBSON MD (NPI 1770509002) is an individual ophthalmology provider in Santa Rosa, California, licensed in California (A436310) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1770509002

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameDR. MARK EDWIN JACOBSONCredential: MD

Location Address1260 N DUTTON AVE STE 160Santa Rosa, CA 95401-7139

Mailing Address1260 N Dutton Ave Ste 160Santa Rosa, CA 95401-7139 · (707) 524-2442 · Fax (707) 524-2438

Phone(707) 524-2442

Fax(707) 524-2438

Sole ProprietorNo

Enumeration DateJuly 13, 2006

Last NPPES UpdateDecember 22, 2021

✔ NPI 1770509002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in CA · A436310

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

1260 N DUTTON AVE STE 160, Santa Rosa, CA 95401

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Other Identifiers 1

Medicaid00S436310CA

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 Mark Jacobson's NPI number?

The NPI number for Mark Jacobson is 1770509002. It was assigned to this individual provider in the NPPES registry on July 13, 2006.

Where is Mark Jacobson located?

Mark Jacobson practices at 1260 N Dutton Ave Ste 160, Santa Rosa, CA 95401. The listed phone number is (707) 524-2442.

What is Mark Jacobson's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

When was this NPI record last updated?

The NPPES record for Mark Jacobson was last updated on December 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.