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

Dr. Mark Edwin Jacobson, MD

Individual provider Ophthalmology Physician · NPI 1770509002

Dr. Mark Edwin Jacobson, MD is an Ophthalmology Physician in Santa Rosa, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
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

1260 N Dutton Ave Ste 160
Santa Rosa, CA 95401-7139
Phone: (707) 524-2442
Fax: (707) 524-2438
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence A436310 (CA)

Record details

NPI number1770509002
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 13, 2006
Last updated in NPPESDecember 22, 2021

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