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

Jace Douglas Jacobsen

Individual provider Registered Nurse · NPI 1871116004

Jace Douglas Jacobsen is a Certified Registered Nurse Anesthetist (CRNA) in Huntington Beach, California. Qualified in 2020, 6 years ago. Practices with Associated Anesthesiologists of the Central Coast, a 35-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
6
Licensed in
CA
In the registry since
2020
Specialties on file
2

Practice location Address checks out

6442 Gloria Dr
Huntington Beach, CA 92647-4226
Phone: (805) 814-2463
Show map & directions

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

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 95001352 (CA)
Registered Nurse Taxonomy 163W00000X · Licence 832119 (CA)

Record details

NPI number1871116004
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 21, 2020
Last updated in NPPESOctober 12, 2023
Certification dateOctober 12, 2023

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Associated Anesthesiologists Of The Central Coast — 35 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Huntington Beach