Dr Geoffrey Samuel Jacoby, MD is a
Preventive Medicine - Preventive Medicine/occupational Environmental Medicine physician based in Port Hueneme, California. Dr Geoffrey Samuel Jacoby is licensed to practice in California (license number C53774) and his current practice location is 162 1st St Bldg 1402, Port Hueneme, California. He can be reached at his office (for appointments etc.) via phone at
(805) 982-6356.
NPI number for Dr Geoffrey Samuel Jacoby is 1518947308 and his current mailing address is 162 1st St Bldg 1402, Port Hueneme, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1518947308.
Physician's Profile
Full Name | Dr Geoffrey Samuel Jacoby |
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Gender | Male |
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Speciality | Preventive Medicine - Preventive Medicine/occupational Environmental Medicine |
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Location | 162 1st St Bldg 1402, Port Hueneme, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1518947308
- Provider Enumeration Date: 01/19/2006
- Last Update Date: 03/03/2025
Medical Identifiers
Medical identifiers for Dr Geoffrey Samuel Jacoby such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1518947308 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2083P0500X | Preventive Medicine - Preventive Medicine/occupational Environmental Medicine | C53774 (California) | Primary |
207Q00000X | Family Medicine | C53774 (California) | Secondary |
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 Geoffrey Samuel Jacoby is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Geoffrey Samuel Jacoby, MD 162 1st St Bldg 1402, Port Hueneme, CA 93043-4316 Ph: (805) 982-6356 | Dr Geoffrey Samuel Jacoby, MD 162 1st St Bldg 1402, Port Hueneme, CA 93043-4316 Ph: (805) 982-6356 |
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