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

Jacob Ivan

Individual provider Family Medicine Physician · NPI 1134979347

Jacob Ivan is a Family Practice in Layton, Utah. Graduated from Texas Tech University Health Science Center School of Medicine in 2024, 2 years ago. Practices with Ihc Health Services Inc, a 3,947-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
2
Trained at
Texas Tech University Health Science Center School of Medicine
Licensed in
UT
In the registry since
2024
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Practice location Address checks out

201 W Layton Pkwy Ste 1A
Layton, UT 84041-3692
Phone: (801) 543-6875
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4403 Harrison Blvd Ste 700a, Ogden, UT 84403-3295 — (801) 387-5300

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 14234161-1205 (UT)

Record details

NPI number1134979347
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 22, 2024
Last updated in NPPESNovember 18, 2025
Certification dateNovember 18, 2025
Mailing addressPo Box 27128, Salt Lake City, UT 84127-0128

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolTEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Graduated 2024 (2 years in practice)
Group practice Ihc Health Services Inc — 3947 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Layton