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

Brian Edwin Jacobson, PT

Individual provider Physical Therapist · NPI 1093065336

Brian Edwin Jacobson, PT is a Physical Therapist in Private Practice in Camarillo, California. Qualified in 2012, 14 years ago. Practices with California Luna Care Physical Therapy PC, a 773-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
14
Licensed in
CA
In the registry since
2012
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

500 Paseo Camarillo Ste 105
Camarillo, CA 93010-5900
Phone: (805) 987-6851
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 39343 (CA)

Record details

NPI number1093065336
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedSeptember 13, 2012
Last updated in NPPESSeptember 13, 2012
Mailing address132 Cindy Ave, Newbury Park, CA 91320-4421

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice California Luna Care Physical Therapy Pc — 773 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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