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

Jacob Eapen, MD

Individual provider Pediatrics Physician · NPI 1104888072

Jacob Eapen, MD is a General Practice in San Jose, California. Qualified in 1985, 41 years ago. Licensed in California.

Years since qualifying
41
Licensed in
CA
In the registry since
2006
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

751 S Bascom Ave Pediatrics Dept
San Jose, CA 95128-2604
Phone: (408) 885-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence A521082 (CA)

Record details

NPI number1104888072
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 5, 2006
Last updated in NPPESMay 7, 2013

Medicare enrollment

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

Medicare specialtyGENERAL PRACTICE
Medical schoolOTHER
Graduated 1985 (41 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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