Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Randy Jacobs Dermatology Inc

Organization Dermatology Physician · NPI 1699872630

Randy Jacobs Dermatology Inc is a Dermatology Physician in Sun City, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

27640 Encanto Dr # B
Sun City, CA 92586-3304
Phone: (951) 672-7673
Fax: (951) 672-1197
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence A049395 (CA)

Record details

NPI number1699872630
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tammy Bolon — Office Manager · (951) 672-7673
NPI enumeratedSeptember 20, 2006
Last updated in NPPESMarch 12, 2008
Mailing address23905 Clinton Keith Rd, 114, Wildomar, CA 92595-7899

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