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Deactivated NPI 1093719858 Deactivated / Inactive NPI Male Practitioner

Dr. Ivan Richard Jacobs , MD

Ophthalmology • Beverly Hills, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Ivan Jacobs has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 09, 2005
NPI Deactivation Date March 15, 2006
Total Practice Duration ~1 Years of Practice (2005 – 2006)

Professional Overview & Biography Verified Profile Summary

Dr. Ivan Jacobs, MD was a registered Ophthalmology practicing in Beverly Hills, CA. Throughout an active medical career spanning 1 years, Dr. Jacobs provided care at the practice location at 8501 WILSHIRE BLVD until profile deactivation on 2006-03-15.

Practice Location & Contact Primary Location

Practice Address

8501 Wilshire Blvd
Ste 316

Beverly Hills, CA 902113128

Telephone 3106522255
Fax 3106522039
Associated Practice Facility / Clinic
🏢 Medical Group Associates Inc Facility NPI 1245317411

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Beverly Hills, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 33.3 Yrs
State Avg: 29.5 Yrs
Regional Practice Density
44 Specialists

Practicing in Beverly Hills, CA (3116 Statewide)

Telehealth Adoption Rate
6.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License CA C27493

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
00C274930 (CA)
Commercial Insurance / Payer ID Blue Shield
00C274930 (CA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

13 Associated Practitioners
NPI 1104823723

Doctor of Medicine (M.D.)

Tiffany Navidbakhsh

Occupational Therapist

NPI 1215571674
NPI 1285993238

Doctor of Medicine (M.D.)

NPI 1306072145

Doctor of Medicine (M.D.)

Jennifer Chang

Registered Nurse - Administrator

NPI 1316876535
Mollie Ritter , PA-C

Physician Assistant

NPI 1336170125

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Practice Location September 25, 2008

Registered at 8501 WILSHIRE BLVD, STE 316, BEVERLY HILLS, CA 902113128 (Tel: 3106522255)

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Updated Business Mailing Address September 25, 2008

Registered at 8501 WILSHIRE BLVD, STE 316, BEVERLY HILLS, CA 902113128 (Tel: 3106522255)

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Provider Name / Credentials Updated September 25, 2008

Recorded as IVAN JACOBS, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 25, 2008

Ophthalmology (License #C27493 in CA)

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NPI Profile Reactivated March 30, 2006

Record officially reactivated for active practice on March 30, 2006

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NPI Profile Deactivated March 15, 2006

Record deactivated on March 15, 2006

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Initial NPI Registration & Enumeration June 09, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1093719858
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 09, 2005
Last Update: September 25, 2008
Deactivation Date: March 15, 2006
Sole Proprietor: No

Mailing Address

8501 Wilshire Blvd, Ste 316

Beverly Hills, CA 902113128

Phone: 3106522255

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.