BRENT JACOBSEN D.O
NPI 1790890465
Emergency Medicine in Wildomar, CA
About Brent Jacobsen D.o NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRENT JACOBSEN D.O (NPI 1790890465) is an individual emergency medicine provider in Wildomar, California, licensed in California (20A8142) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1999).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Brent Jacobsen D.o is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Brent Jacobsen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Murrieta, CA 92562
- Reassigned Medicare billing, California enrollment
- 112 clinicians in this Medicare group
Murrieta, CA 92563
- Reassigned Medicare billing, California enrollment
- 2,323 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 5
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92595 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WILDOMAR, CA 92595
WILDOMAR, CA 92595
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 Brent Jacobsen's NPI number?
The NPI number for Brent Jacobsen is 1790890465. It was assigned to this individual provider in the NPPES registry on August 20, 2006.
Where is Brent Jacobsen located?
Brent Jacobsen practices at 36485 Inland Valley Dr, Wildomar, CA 92595. The listed phone number is (909) 677-9773.
What is Brent Jacobsen's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Brent Jacobsen enrolled in Medicare?
Yes. Brent Jacobsen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Brent Jacobsen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Brent Jacobsen reassigns Medicare benefits to 2 organizations: Em Alliance California, Apc (Murrieta, CA) and Cep America-California (Murrieta, 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 Brent Jacobsen'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 Brent Jacobsen was last updated on November 6, 2007. 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.
# Brent Jacobsen, D.O · NPI 1790890465
Emergency Medicine physician in Wildomar, California. Individual provider, active in the CMS NPPES registry since August 20, 2006.
## Identity
- **NPI:** 1790890465 (Entity type: Individual)
- **Enumerated:** August 20, 2006
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 20A8142 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 36485 INLAND VALLEY DR, Wildomar, CA 92595-9681
- **Phone:** (909) 677-9773
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Em Alliance California, Apc (NPI 1376305755, Murrieta, CA); Cep America-California (NPI 1588552848, Murrieta, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1999
## Record status
- **NPPES last updated:** November 6, 2007
- **Other identifiers:** Medicare PIN 020A81420 (CA); Medicare UPIN H33891 (CA); Medicaid 00AX814200 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1790890465) · Data from the CMS NPPES public registry.