Luis Alejandro Jacobo, MS, ATC

Athletic Trainer · Stockton, CA

Individual Active NPI

NPI number 1003645920

Practice location

6385 Pacific Ave
Stockton, CA 95207-3713
Phone
(209) 477-9300

Open in Google Maps

NPI record

NPI
1003645920
Entity type
Individual (Type 1)
Enumeration date
July 30, 2024
Last updated
July 30, 2024
Certified
July 30, 2024
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Athletic Trainer Primary 2255A2300X 2000053928 CA

Mailing address

3616 Jenny Lind Ave
North Highlands, CA 95660-5610
Phone
(916) 208-4144

Other practice locations (1)

  • 5648 N El Dorado St, Stockton, CA 95207-4459 · (209) 957-3340

About Luis Jacobo

Luis Alejandro Jacobo, MS, ATC is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 6385 Pacific Ave, Stockton, CA 95207-3713. The NPI number 1003645920 was assigned on July 30, 2024 and the record was last updated on July 30, 2024.

Luis Jacobo lists a license in the registry: #2000053928 (CA) for Athletic Trainer. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Luis Alejandro Jacobo, MS, ATC?

The NPI number is 1003645920.

What is the phone number of Luis Jacobo?

The phone number listed for the practice location is (209) 477-9300.

Where is Luis Jacobo located?

6385 Pacific Ave, Stockton, CA 95207-3713.

What is the taxonomy code for Luis Jacobo?

The primary taxonomy code is 2255A2300X – Athletic Trainer.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Athletic Trainer providers in Stockton

All Athletic Trainer providers in Stockton, CA →