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

Mr. Jacob T. Dines, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1003380288

Mr. Jacob T. Dines, DO is a Student in an Organized Health Care Education/Training Program in Ridgecrest, California. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2019
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

1 Administration Cir # MS 1015
Ridgecrest, CA 93555-6104
Phone: (760) 939-8063
Show map & directions

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

Specialties & licences

Military Health Care Provider (primary) Taxonomy 171000000X · Licence OS17059 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1003380288
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedJanuary 22, 2019
Last updated in NPPESJuly 21, 2021
Certification dateJuly 21, 2021
Mailing address1 Administration Cir # Ms 1015, Ridgecrest, CA 93555-6104

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