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

Jacob Justin Dima, DO

Individual provider Family Medicine Physician · NPI 1205152295

Jacob Justin Dima, DO is a Family Practice in Davis, California. Qualified in 2010, 16 years ago. Practices with Regents of the University of California, a 563-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California and Illinois.

Years since qualifying
16
Licensed in
CA, IL
In the registry since
2010
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

2660 W Covell Blvd
Davis, CA 95616-5645
Phone: (530) 747-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence A12687 (CA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 125-058844 (IL)

Record details

NPI number1205152295
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 15, 2010
Last updated in NPPESMarch 13, 2024
Certification dateMarch 13, 2024
Mailing address2660 W Covell Blvd, Davis, CA 95616-5645

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Regents Of The University Of California — 563 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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