Individual
KATHERINE NICHOLAS JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11201 BENTON ST, LOMA LINDA, CA 92357-0001
(909) 825-7084
Mailing address
11201 BENTON ST, LOMA LINDA, CA 92357-0001
(909) 825-7084
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
L2344
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0031MY
BLUE CROSS/BLUE SHIELD TX
TX
05
—
176680001
—
TX
Enumeration date
07/11/2006
Last updated
01/19/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us