Dr Jacob Daniel Hattenbach, DO is a medicare enrolled "Physical Medicine & Rehabilitation" provider in Santa Monica, California. He went to College Of Osteo Med Of The Pacific At Pomona and graduated in 2019 and has 7 years of diverse experience with area of expertise as Physical Medicine And Rehabilitation. He is a member of the group practice Sharwin Tafazoli Inc and his current practice location is
2021 Santa Monica Blvd Ste 200e, Santa Monica, California. You can reach out to his office (for appointments etc.) via phone at
(323) 709-3657.
Dr Jacob Daniel Hattenbach is licensed to practice in California (license number 20A22622) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1184184244.
Healthcare Provider's Profile
| Full Name | Dr Jacob Daniel Hattenbach |
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| Gender | Male |
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| Speciality | Physical Medicine And Rehabilitation |
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| Experience | 7 Years |
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| Location | 2021 Santa Monica Blvd Ste 200e, Santa Monica, California |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Jacob Daniel Hattenbach attended and graduated from College Of Osteo Med Of The Pacific At Pomona in 2019
NPI Data:
- NPI Number: 1184184244
- Provider Enumeration Date: 03/23/2019
- Last Update Date: 09/22/2025
Medicare PECOS Information:
- PECOS PAC ID: 5496116592
- Enrollment ID: I20240608000235
Medical Identifiers
Medical identifiers for Dr Jacob Daniel Hattenbach such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1184184244 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 171100000X | Acupuncturist | 318847-A (New York) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | 5101027170 (Michigan) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | 318847 (New York) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | 20A22622 (California) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Jacob Daniel Hattenbach allows following entities to bill medicare on his behalf.
| Provider Name | Sharwin Tafazoli Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1447806278
PECOS PAC ID: 8729416953
Enrollment ID: O20200320002154 |
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| Provider Name | Leia Rispoli MD, Inc. |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1164183331
PECOS PAC ID: 1759774227
Enrollment ID: O20220204000505 |
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| Provider Name | Jacob Hattenbach DO Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1750277067
PECOS PAC ID: 4688165087
Enrollment ID: O20251113002451 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jacob Daniel Hattenbach is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Dr Jacob Daniel Hattenbach, DO
12021 Wilshire Blvd # 144,
Los Angeles, CA 90025-1206
Ph: Not Available | Dr Jacob Daniel Hattenbach, DO
2021 Santa Monica Blvd Ste 200e,
Santa Monica, CA 90404-2136
Ph: (323) 709-3657 |
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