NPI

Jacob Bernie

NPI 1215322565

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Type
Individual
Enumeration date
2015-04-03
Last updated
2015-09-30

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Specialties

Licenses

License CA
A02460315

Location

Practice location
350 E Gobbi St
City
Ukiah CA
Postal code
95482-5511
Phone
(707) 472-2922

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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