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

Fatima Jacobo

Individual provider Dental Hygienist · NPI 1366364788

Fatima Jacobo is a Dental Hygienist in Jackson, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2026

Practice location Address checks out

12150 New York Ranch Rd
Jackson, CA 95642-9407
Phone: (209) 257-2400
Show map & directions

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

Specialties & licences

Dental Hygienist (primary) Taxonomy 124Q00000X · Licence 30247 (CA)

Record details

NPI number1366364788
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 28, 2026
Last updated in NPPESJuly 28, 2026
Certification dateJuly 28, 2026
Mailing addressPo Box 939, Angels Camp, CA 95222-0939

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