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

Jedidiah Andrew Jacobson, CPO

Individual provider Prosthetist · NPI 1770099814

Jedidiah Andrew Jacobson, CPO is a Prosthetist in Orange, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2017
Specialties on file
2

Practice location Address checks out

2140 W Chapman Ave Ste 103
Orange, CA 92868-2331
Phone: (714) 602-6436
Show map & directions

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

Additional practice locations (1)

  • 6927 Brockton Ave Ste 2a, Riverside, CA 92506-3807 — (951) 224-9995

Specialties & licences

Orthotist (primary) Taxonomy 222Z00000X · Licence CPO03265 (CA)
Prosthetist Taxonomy 224P00000X · Licence CPO03265 (CA)

Record details

NPI number1770099814
Entity typeIndividual (Type 1)
GenderMale
Credentials CPO
Sole proprietorNo
NPI enumeratedDecember 27, 2017
Last updated in NPPESMarch 17, 2018

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