Individual provider · Type 1 NPI

Charles E. Jacob

Rehabilitation Practitioner · San Francisco, CA

NPI number 1053797605 Active

Practice location

368 Fell St
San Francisco, CA 94102-5144

Fax (415) 861-0140

Mailing address

8945 Golf Links Rd
Oakland, CA 94605-4124

Other practice locations

  • 810 Capp St, San Francisco, CA 94110-3225 · (415) 285-0810
  • 8945 Golf Links Rd, Oakland, CA 94605-4124 · (510) 317-1444

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Community Health Worker 172V00000XNone listed
Rehabilitation Practitioner Primary 225400000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1053797605

Charles E. Jacob's National Provider Identifier is 1053797605, issued on Aug 5, 2015. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in San Francisco, CA. The record was last updated on May 15, 2025.