Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1336341403 Deactivated / Inactive NPI Male Practitioner

Philip Daniel Jacobs , FNP

Nurse Practitioner • Santa Rosa, 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, Philip Jacobs has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 01, 2007
NPI Deactivation Date June 05, 2017
Total Practice Duration ~10 Years of Practice (2007 – 2017)

Professional Overview & Biography Verified Profile Summary

Philip Jacobs, FNP was a registered Nurse Practitioner practicing in Santa Rosa, CA. Throughout an active medical career spanning 10 years, Philip Jacobs provided care at the practice location at 1221 N DUTTON AVE until profile deactivation on 2017-06-05.

Practice Location & Contact Primary Location

Practice Address

1221 N Dutton Ave

Santa Rosa, CA 954014607

Telephone 7075438360
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Santa Rosa, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.8 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
72 Specialists

Practicing in Santa Rosa, CA (8378 Statewide)

Telehealth Adoption Rate
15.3% 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

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License CA NP15109

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Practice Associates & Co-Workers

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

12 Associated Practitioners
Derek Widener , PTA

Physical Therapy Assistant

NPI 1154691624

Physical Therapist Assistant

Catherine Losada , FNP

Nurse Practitioner - Family

NPI 1164786992

Family Nurse Practitioner

Joseph Pappas

Physical Therapist

NPI 1255873030
Collin Thompson

Physical Therapist

NPI 1275171936
NPI 1396343042

Physical Therapist, Doctor of Physical Therapy

Dr. Norman Westhoff , MD

Preventive Medicine - Preventive Medicine/Occupational Environmental Medicine

NPI 1518010347

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events
⚠️
NPI Profile Deactivated June 05, 2017

Record deactivated on June 05, 2017

NPI Profile Active May 10, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location May 10, 2013

Registered at 1221 N DUTTON AVE, SANTA ROSA, CA 954014607 (Tel: 7075438360)

📍
Updated Business Mailing Address May 10, 2013

Registered at 1221 NORTH DUTTON AVENUE, SANTA ROSA, CA 954018107 (Tel: 7075438360)

👤
Provider Name / Credentials Updated May 10, 2013

Recorded as PHILIP JACOBS, FNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 10, 2013

Nurse Practitioner (License #NP15109 in CA)

🟢
Initial NPI Registration & Enumeration June 01, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Philip Jacobs. Be the first to share your experience!

Sign in to leave a review for Philip Jacobs

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1336341403
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 01, 2007
Last Update: May 10, 2013
Deactivation Date: June 05, 2017

Mailing Address

1221 North Dutton Avenue

Santa Rosa, CA 954018107

Phone: 7075438360

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.