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

Mr. Casey Robert Jacobs, IDC

Individual provider Other Technician · NPI 1386874394

Mr. Casey Robert Jacobs, IDC is an Other Technician in San Diego, California. Registered with an NPI since 2009.

In the registry since
2009

Practice location Address checks out

34101 Farenholt Ave
San Diego, CA 92134-7000
Phone: (619) 532-6094
Show map & directions

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

Specialties & licences

Other Technician (primary) Taxonomy 247200000X

Record details

NPI number1386874394
Entity typeIndividual (Type 1)
GenderMale
Credentials IDC
Sole proprietorNo
NPI enumeratedJuly 24, 2009
Last updated in NPPESJuly 24, 2009
Mailing address34101 Farenholt Ave, San Diego, CA 92134-7000

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