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Export Provider Record NPI 1063124105
Hilda Berenice JacoboFNP-BC
Active
NPI Number1063124105
NPI TypeNPI-1 Individual
SpecialtyNurse Practitioner, Family
Provider Details
NPI1063124105
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2022-12-20
Last Updated2022-12-20
Mailing Address922 S Barrington Ave Apt 102
Los Angeles, CA 90049-5537
United States
Phone: (407) 965-7846
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Primary Practice Address8727 Van Nuys Blvd
Panorama City, CA 91402-2451
United States
Phone: (818) 899-5555
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Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes363LF0000X – Nurse Practitioner, FamilyCANP95022808
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About NPI 1063124105

Hilda Berenice Jacobo FNP-BC is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1063124105. The primary specialty listed is Nurse Practitioner, Family. The provider is located in Panorama City, CA. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2022-12-20. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1063124105?

NPI 1063124105 belongs to Hilda Berenice Jacobo FNP-BC, a Nurse Practitioner, Family in Panorama City, CA. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1063124105 active?

The current status of NPI 1063124105 in the NPPES registry is Active. The record was last updated on 2022-12-20.

What specialty is NPI 1063124105?

NPI 1063124105 is classified under the taxonomy Nurse Practitioner, Family. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1063124105?

You can verify NPI 1063124105 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1063124105?

The primary practice address on file for NPI 1063124105 is 8727 Van Nuys Blvd, Panorama City, CA 91402-2451. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1063124105 issued?

NPI 1063124105 was first issued (enumerated) on 2022-12-20. The NPPES record was last updated on 2022-12-20.

Practice Location Map

Hilda Berenice Jacobo is located at 8727 Van Nuys Blvd, Panorama City, CA. Use the map below to find directions or verify the practice location.

📍 8727 Van Nuys Blvd, Panorama City, CA 91402-2451  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Hilda Berenice Jacobo. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1063124105. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Nurse Practitioner, FamilyNP95022808CA
Data Verified from CMS NPPES Last synced: 2026-06-16 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162