Jacob Wellington Brubaker
Ophthalmology (Glaucoma Specialist)

Address: 1515 River Park Dr Ste 100, Sacramento, CA 95815-4605
Phone: 9166491515

Jacob Wellington Brubaker (NPI# 1740433945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1740433945
Entity Type Individual
Full Name Jacob Wellington Brubaker
Credential M.D.
Gender Male
Practice Address 1515 River Park Dr Ste 100
CA 95815-4605
Practice Telephone 9166491515
Mailing Address 608 Stanton L Young Blvd
Oklahoma City
OK 73104-5014
Mailing Telephone 4052716060
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2008-10-31
Last Update Date 2018-03-17

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 207WX0009X Ophthalmology · Glaucoma Specialist Allopathic & Osteopathic Physicians A124655 CA

Secondary Practice Locations

Address Telephone Number Fax Number
608 Stanton L Young Blvd, Oklahoma City, OK 731045014 4052716060

Other Providers JACOB BRUBAKER

NPI Name Taxonomy Address Enumeration
1275880015 Jacob Robert Lynn Brubaker Orthotist 3400 Latouche St, Suite 100, Anchorage, AK 99508-4208 2012-08-10

Physician Overview

NPI 1740433945
PAC ID by PECOS 5193980811
Professional Enrollment ID I20130621000246
Full Name Jacob W Brubaker
Phone Number 9166491515
Gender M
Graduation Year 2007
Primary Specialty OPHTHALMOLOGY
Group Practice PAC ID 5597710319
Number of Group Practice Members 5
Accepts Medicare Assignment Y
Report Quality Measures Y
Use Electronic Health Records Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
PQRS_EP_238_1 Use of High-Risk Medications in the Elderly (100%: worst, 0% best) 11%

Office Location

Street Address 1515 RIVER PARK DR STE 100
State CA
Zip Code 95815-4605

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669941159 Maria Luisa Plasencia Registered Nurse Martin Luther King Jr. Technology Academy, 3051 Fairfield St, Sacramento, CA 95815 2018-11-14
1700386547 Rww Outpatient Rehab Services, LLC Clinic/Center 1610 Arden Way Ste 195, Sacramento, CA 95815 2018-02-19
1114439262 Ahc Healthcare of Sacramento Corporation Skilled Nursing Facility 1411 Expo Pkwy, Sacramento, CA 95815 2017-10-30
1588173686 Rebekah Collette Curtis Counselor 1048 Dixieanne Ave. #28, Sacramento, CA 95815 2017-09-21
1497284145 Prohealth Home Care Inc Hospice Care, Community Based 1375 Exposition Blvd Suite 250b, Sacramento, CA 95815 2017-06-07
1386982296 Shailesh M Asaikar Md Inc Clinic/Center 1111 Exposition Blvd., Bldg 700, Sacramento, CA 95815 2013-01-28
1609129618 Jackey Care's Housing Clinic/Center 2447 Boxwood St, Sacramento, CA 95815 2012-10-16
1144549304 Rowena Deleon Nolasco Nurse Practitioner 577 Las Palmas Ave., Health for All, Sacremento, CA 95815 2010-05-26
1659409027 Amy Ann Smith Social Worker 1955 Canterbury Rd, Sacramento, CA 95815 2007-02-28
1194871152 Nivano Physicians, Inc. Health Maintenance Organization 1420 River Park Dr Ste 200, Sacramento, CA 95815 2007-01-25
Find all providers in zip 95815

Taxonomy Information

Taxonomy Code 207WX0009X
Grouping Allopathic & Osteopathic Physicians
Classification Ophthalmology
Specialization Glaucoma Specialist

Taxonomy Definition

An ophthalmologist who specializes in the treatment of glaucoma and other disorders related to increased intraocular pressure and optic nerve damage. This specialty involves the medical and surgical treatment of these conditions.
Notes: Source: American Academy of Ophthalmology, www.aao.org [1/1/2017: new] Additional Resources: Association of University Professors of Ophthalmology, www.aupo.org

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1760821375 Han Kim Ophthalmology 4860 Y St Ste 2400, Sacramento, CA 95817-2307 2013-06-17

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1639303118 Iryna Anatoliyevna Falkenstein Ophthalmology 491 30th St Ste 103, Oakland, CA 94609 2009-05-12
1144225343 Todd Dana Severin Ophthalmology 5801 Norris Canyon Rd, Ste 200, San Ramon, CA 94583-5406 2005-06-15
1326300377 Andrew Camp Ophthalmology 9415 Campus Point Drive, San Diego, CA 92134-1098 2012-06-14
1891002044 Cristiana Vasile Ophthalmology 3939 3rd Ave, San Diego, CA 92103-3002 2010-09-09
1639497258 Ardalan Aminlari Ophthalmology 477 N El Camino Real Ste C202, Encinitas, CA 92024-1332 2010-05-06
1376770925 Deborah Kim Ophthalmology 615 W Avenue L, Lancaster, CA 93534-7211 2009-06-22
1366404469 Janet Chen Ophthalmology 921 Oak Park Blvd, Suite 201b, Pismo Beach, CA 93449-3264 2006-04-04


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Zip Code 95815

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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