ROBERT B JACOB, DDS, INC
NPI 1992175699
Clinic/Center - Dental in San Diego, CA

Active since October 07, 2015
4617 RUFFNER ST STE 200, SAN DIEGO, CA 92111(858) 268-1006(858) 268-5097 Get Directions Write a Review

NPPES record last updated: October 7, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Robert B Jacob, Dds, Inc NPPES

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

ROBERT B JACOB, DDS, INC (NPI 1992175699) is a healthcare organization registered as a dental in San Diego, California and active in the NPI registry since October 2015. The organization lists Robert B Jacob, President, as its authorized official.

NPPES Registry Identity

NPI1992175699
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameROBERT B JACOB, DDS, INC
Location Address4617 RUFFNER ST STE 200San Diego, CA 92111-2284
Mailing Address4617 Ruffner St Ste 200San Diego, CA 92111-2284 · (858) 268-1006 · Fax (858) 268-5097
Fax(858) 268-5097
Organization SubpartNo
Authorized OfficialRobert B JacobPresident · (858) 268-1006
Enumeration DateOctober 7, 2015
NPI 1992175699 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License Licensed in CA · B25912
4617 RUFFNER ST STE 200, San Diego, CA 92111

Other Identifiers 1

MedicaidB25912-01CA

Other Providers at the Same Location NPPES

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

Dentist (Orthodontics and Dentofacial Orthopedics)
4617 RUFFNER ST STE 200
SAN DIEGO, CA 92111

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 Robert B Jacob, Dds, Inc's NPI number?

The NPI number for Robert B Jacob, Dds, Inc is 1992175699. It was assigned to this organization in the NPPES registry on October 7, 2015.

Where is Robert B Jacob, Dds, Inc located?

Robert B Jacob, Dds, Inc is located at 4617 Ruffner St Ste 200, San Diego, CA 92111. The listed phone number is (858) 268-1006.

What is Robert B Jacob, Dds, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Robert B Jacob, Dds, Inc was last updated on October 7, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.