Individual provider · Type 1 NPI

Ilias Jacob

Rehabilitation Practitioner · San Jose, CA

NPI number 1376220475 Active

Practice location

438 N White Rd
San Jose, CA 95127-1439

Call (408) 254-6828 Map

Mailing address

1922 The Alameda Ste 316
San Jose, CA 95126-1461

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Practitioner Primary 225400000XNone listed
Case Manager/Care Coordinator 171M00000XNone 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 1376220475

Ilias Jacob's National Provider Identifier is 1376220475, issued on Jun 29, 2023. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in San Jose, CA. The record was last updated on Jul 3, 2025.