Dr. Desiderio C Jacob , MD
Preferred Provider Organization • Compton, CA
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. Desiderio Jacob has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Desiderio Jacob, MD was a registered Preferred Provider Organization practicing in Compton, CA. Throughout an active medical career spanning 18 years, Dr. Jacob provided care at the practice location at 2140 S SANTA FE AVE until profile deactivation on 2025-07-03.
Practice Location & Contact Primary Location
2140 S Santa Fe Ave
Compton, CA 902215311
Specialty Benchmarks & Practice Insights
Comparative analytics for Preferred Provider Organization in Compton, CA
Practicing in Compton, CA (23 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 305R00000X
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on July 03, 2025
NPI status registered as active in NPPES database
Registered at 2140 S SANTA FE AVE, COMPTON, CA 902215311 (Tel: 3106311107)
Registered at 960 PASEO LA CRESTA, PALOS VERDES ESTATES, CA 902742053 (Tel: 3103733868)
Recorded as DESIDERIO JACOB, M.D.
Preferred Provider Organization (License #A23679 in CA)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
960 Paseo La Cresta
Palos Verdes Estates, CA 902742053
Phone: 3103733868
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