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

Jessie K Jacob, MD

Individual provider Diagnostic Radiology Physician · NPI 1083644223

Jessie K Jacob, MD is a Diagnostic Radiology in Palo Alto, California. Graduated from University of Vermont College of Medicine in 2001, 25 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in California and New York.

Years since qualifying
25
Trained at
University of Vermont College of Medicine
Licensed in
CA, NY
In the registry since
2006
Specialties on file
2
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

2421 Park Blvd Ste B202
Palo Alto, CA 94306-1956
Phone: (650) 617-8655
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence A107083 (CA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 242480 (NY)

Record details

NPI number1083644223
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 4, 2006
Last updated in NPPESDecember 30, 2020
Certification dateDecember 30, 2020

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolUNIVERSITY OF VERMONT COLLEGE OF MEDICINE
Graduated 2001 (25 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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