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

Jacob A Dougherty

Individual provider Case Manager/Care Coordinator · NPI 1497303416

Jacob A Dougherty is a Case Manager/Care Coordinator in Los Angeles, California. Practices as a sole proprietor. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
2
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Practice location Address checks out

3055 Wilshire Blvd Ste 300
Los Angeles, CA 90010-1147
Phone: (213) 375-3830
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1497303416
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 3, 2019
Last updated in NPPESMarch 26, 2024
Certification dateMarch 26, 2024

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