JACOB M TSADOK MD
NPI 1881756096
Internal Medicine in Los Angeles, CA

Active since December 14, 2006PECOS EnrolledAccepts Medicare Assignment
11645 WILSHIRE BLVD, SUITE 1090, LOS ANGELES, CA 90025(310) 445-3551(310) 445-3351 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jacob M Tsadok Md NPPES

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

JACOB M TSADOK MD (NPI 1881756096) is an individual internal medicine provider in Los Angeles, California, licensed in California (A61419) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1995).

NPPES Registry Identity

NPI1881756096
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJACOB M TSADOKCredential: MD
Location Address11645 WILSHIRE BLVD, SUITE 1090Los Angeles, CA 90025-6812
Mailing AddressPo Box 24971Los Angeles, CA 90024-0971 · (310) 277-9010
Fax(310) 445-3351
Sole ProprietorYes
Medical School CMSOtherGraduated 1995
Enumeration DateDecember 14, 2006
Last NPPES UpdateMarch 7, 2023
NPI 1881756096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in CA · A61419
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
11645 WILSHIRE BLVD, Los Angeles, CA 90025

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jacob M Tsadok Md 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.

PECOS PAC ID1759410715
PECOS Enrollment IDI20100601000182
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 90025 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
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 20

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

Dentist
11645 WILSHIRE BLVD, SUITE 703
LOS ANGELES, CA 90025
Specialist
11645 WILSHIRE BLVD, SUITE # 600
LOS ANGELES, CA 90025
Legal Medicine
11645 WILSHIRE BLVD, SUITE 825
LOS ANGELES, CA 90025
Dermatology
11645 WILSHIRE BLVD, SUITE 1080
LOS ANGELES, CA 90025
Dermatology
11645 WILSHIRE BLVD, #800
LOS ANGELES, CA 90025
Internal Medicine
11645 WILSHIRE BLVD, SUITE 901
LOS ANGELES, CA 90025
Psychologist (Clinical)
11645 WILSHIRE BLVD, SUITE #1100
LOS ANGELES, CA 90025
Specialist
11645 WILSHIRE BLVD, SUITE 1090
LOS ANGELES, CA 90025

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 Jacob Tsadok's NPI number?

The NPI number for Jacob Tsadok is 1881756096. It was assigned to this individual provider in the NPPES registry on December 14, 2006.

Where is Jacob Tsadok located?

Jacob Tsadok practices at 11645 Wilshire Blvd Suite 1090, Los Angeles, CA 90025. The listed phone number is (310) 445-3551.

What is Jacob Tsadok's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Jacob Tsadok enrolled in Medicare?

Yes. Jacob Tsadok 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.

When was this NPI record last updated?

The NPPES record for Jacob Tsadok was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.