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

Dr. Lara Michelle Jacobson, MD

Individual provider Pediatrics Physician · NPI 1477602415

Dr. Lara Michelle Jacobson, MD is a Pediatric Medicine in Perris, California. Graduated from Stanford University School of Medicine in 2006, 20 years ago. Licensed in California.

Years since qualifying
20
Trained at
Stanford University School of Medicine
Licensed in
CA
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

21705 Martin St
Perris, CA 92570-7316
Phone: (833) 867-4642
Show map & directions

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

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence C184994 (CA)

Record details

NPI number1477602415
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 9, 2007
Last updated in NPPESJune 21, 2026
Certification dateJune 21, 2026

Medicare enrollment

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

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolSTANFORD UNIVERSITY SCHOOL OF MEDICINE
Graduated 2006 (20 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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