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

Immanuel Jacquez, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1366806879

Immanuel Jacquez, MD is an Anesthesiology in Seattle, Washington. Graduated from Indiana University School of Medicine in 2016, 10 years ago. Practices with Anesthesia Consultants of California Medical Group Inc, a 37-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
10
Trained at
Indiana University School of Medicine
Licensed in
CA
In the registry since
2016
Specialties on file
2
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

1959 NE Pacific St Box 356410
Seattle, WA 98195-6140
Phone: (559) 901-1335
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1130 W Michigan St # Fh204, Indianapolis, IN 46202-5209 — (559) 901-1335

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence A184944 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1366806879
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 11, 2016
Last updated in NPPESJuly 3, 2023
Certification dateJuly 3, 2023

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolINDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduated 2016 (10 years in practice)
Group practice Anesthesia Consultants Of California Medical Group Inc — 37 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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