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

Greta Jacobsen

Individual provider Family Medicine Physician · NPI 1255952941

Greta Jacobsen is a Family Practice in Santa Monica, California. Qualified in 2016, 10 years ago. Practices with Providence Saint Johns Medical Foundation, a 285-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
10
Licensed in
CA
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

2021 Santa Monica Blvd Ste 625E
Santa Monica, CA 90404-2169
Phone: (310) 829-8948
Fax: (424) 212-5937
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1313 E Herndon Ave Ste 105, Fresno, CA 93720-3306 — (559) 450-4637

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence A184055 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1255952941
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 4, 2020
Last updated in NPPESJanuary 19, 2024
Certification dateJanuary 19, 2024

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Providence Saint Johns Medical Foundation — 285 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Santa Monica