Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1477602415 Individual Practitioner Female Practitioner

Dr. Lara Michelle Jacobson , MD

Pediatrics • Perris, CA

Professional Overview & Biography Verified Profile Summary

Dr. Lara Jacobson, MD is a certified Pediatrics practicing in Perris, CA. With approximately 20 years of clinical experience since graduating from Stanford University School Of Medicine in 2006, Dr. Jacobson delivers high-quality medical care to the local community at 21705 MARTIN ST.

Dr. Jacobson does not directly accept Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

21705 Martin St

Perris, CA 925707316

Telephone 8338674642
Associated Practice Facility / Clinic
🏢 Neighborhood Healthcare Facility NPI 1235985219

Medicare Profile & Education

Medical School

Stanford University School Of Medicine

Graduation Year

2006

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Perris, CA

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
20 Yrs Matches City Avg
City Avg: 20.0 Yrs
State Avg: 22.5 Yrs
Regional Practice Density
6 Specialists

Practicing in Perris, CA (9612 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Jacobson (20 Years) 20 Yrs
Perris Specialty Average (20.0 Years) 20.0 Yrs

Medical Specialties & State Licenses

CMS Verified: 2026-06-21
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License CA C184994

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Jacquelyn Ramos , PA-C

Physician Assistant

NPI 1003515131

Physician Assistant (Certified)

Stephanie Houle-Kisil , NP

Nurse Practitioner - Family

NPI 1003674847

Nurse Practitioner

Kelli Sierras , LCSW

Social Worker - Clinical

NPI 1013289487

Licensed Clinical Social Worker

Maria Earhart , LCSW

Social Worker - Clinical

NPI 1013349588

Licensed Clinical Social Worker

NPI 1013694645

Physician Assistant

NPI 1023354206

DACM, Licensed Acupuncturist

Career & Practice History Timeline

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

13 Historical Events
📍
Updated Practice Location June 21, 2026

Registered at 21705 MARTIN ST, PERRIS, CA 925707316 (Tel: 8338674642)

📍
Updated Business Mailing Address June 21, 2026

Registered at 21705 MARTIN ST, PERRIS, CA 925707316 (Tel: 8338674642)

📍
Updated Practice Location August 18, 2023

Registered at 25500 MEDICAL CENTER DR, MURRIETA, CA 925625965 (Tel: 9516966124)

📍
Updated Business Mailing Address August 18, 2023

Registered at 3020 CHILDRENS WAY # MC5003, SAN DIEGO, CA 921234223 (Tel: 8583096300)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 18, 2023

Pediatrics (License #C184994 in CA)

📍
Updated Practice Location October 19, 2018

Registered at 160 E ERIE AVE, PHILADELPHIA, PA 191341011 (Tel: 2154275369)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 19, 2018

Pediatrics (License #MD465536 in PA)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 2-124 MEGAN BROWN DEPT OF PEDIATRICS CMSC, 600 N. WOLFE STREET, BALTIMORE, MD 212870001 (Tel: 4109552727)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1101 SAINT PAUL ST, APT 1811, BALTIMORE, MD 212022619 (Tel: 4102834086)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as LARA JACOBSON, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Pediatrics (License #P21390 in MD)

🟢
Initial NPI Registration & Enumeration January 09, 2007

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: 1477602415
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 09, 2007
Last Update: June 21, 2026
Sole Proprietor: No

Mailing Address

21705 Martin St

Perris, CA 925707316

Phone: 8338674642

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.