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

Maya Clotilde Jacobson

Individual provider Community Health Worker · NPI 1154051191

Maya Clotilde Jacobson is a Community Health Worker in San Leandro, California. Licensed in California. Registered with an NPI since 2022.

Licensed in
CA
In the registry since
2022
Specialties on file
3

Practice location Address checks out

400 Estudillo Ave Ste 100
San Leandro, CA 94577-4962
Phone: (510) 924-0548
Show map & directions

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

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 141610 (CA)
Community Health Worker Taxonomy 172V00000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1154051191
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 13, 2022
Last updated in NPPESMarch 28, 2025
Certification dateMarch 28, 2025

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