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

Shiny Jacob

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1700638293

Shiny Jacob is a Nurse Practitioner in Redlands, California. Qualified in 2024, 2 years ago. Practices with David Desai MD Inc, a 9-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
2
Licensed in
CA
In the registry since
2024

Practice location Address checks out

1030 Nevada St
Redlands, CA 92374-2957
Phone: (909) 553-0055
Show map & directions

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

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 95028911 (CA)

Record details

NPI number1700638293
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 5, 2024
Last updated in NPPESJune 11, 2026
Certification dateJune 11, 2026
Mailing address5360 Corison Way, Fontana, CA 92336-5995

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice David Desai Md Inc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Redlands