David Jacaban, - Medicare Occupational Therapist in Fontana, CA

David Jacaban, is a medicare enrolled "Occupational Therapist - Neurorehabilitation" provider in Fontana, California. He went to Loma Linda University School Of Medicine and graduated in 1996 and has 28 years of diverse experience with area of expertise as Occupational Therapy. He is a member of the group practice Southern California Permanente Medical Group and his current practice location is 9961 Sierra Ave, Fontana, California. You can reach out to his office (for appointments etc.) via phone at (909) 427-4075.

David Jacaban is licensed to practice in California (license number OT 3235) 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 1427275270.

Contact Information

David Jacaban,
9961 Sierra Ave,
Fontana, CA 92335-6720
(909) 427-4075
Not Available



Healthcare Provider's Profile

Full NameDavid Jacaban
GenderMale
SpecialityOccupational Therapy
Experience28 Years
Location9961 Sierra Ave, Fontana, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • David Jacaban attended and graduated from Loma Linda University School Of Medicine in 1996
  NPI Data:
  • NPI Number: 1427275270
  • Provider Enumeration Date: 04/20/2007
  • Last Update Date: 11/30/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 9133308810
  • Enrollment ID: I20110127000131

Medical Identifiers

Medical identifiers for David Jacaban such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1427275270NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225XN1300XOccupational Therapist - Neurorehabilitation OT 3235 (California)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Southern California Permanente Medical Group60027291757951

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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. David Jacaban allows following entities to bill medicare on his behalf.
Provider NameSouthern California Permanente Medical Group
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1316979834
PECOS PAC ID: 6002729175
Enrollment ID: O20040126000823

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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. David Jacaban 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 AddressPractice Location Address
David Jacaban,
11968 Gemstone Ct,
Yucaipa, CA 92399-3491

Ph: () -
David Jacaban,
9961 Sierra Ave,
Fontana, CA 92335-6720

Ph: (909) 427-4075

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Occupational Therapist in Fontana, CA

Pedro Campos,
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 15324 Palm Leaf Ln, Fontana, CA 92336
Phone: 323-807-2654    
Mrs. Kathryn Mary Foster, OTR
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 9961 Sierra Ave, Fontana, CA 92335
Phone: 909-427-4073    
Patricia Lotich, OTR
Occupational Therapist
Medicare: Medicare Enrolled
Practice Location: 9985 Sierra Ave, Fontana, CA 92335
Phone: 909-427-6996    
Mr. Gerald Arafol,
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 9985 Sierra Ave, Fontana, CA 92335
Phone: 909-427-3945    
Alice Wong, OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 9961 Sierra Ave, Fontana, CA 92335
Phone: 888-232-3030    
Margaret Mclaughlin, OTR
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 9985 Sierra Ave, Fontana, CA 92335
Phone: 909-427-6996    
Hazel Marlene Carter, OT
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 9961 Sierra Ave, Fontana, CA 92335
Phone: 909-427-6939    

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