IndividualActive
Jake Theobald
NPI 1053994327 · Independent Duty Corpsman · San Diego, CA
Jake Theobald is a Independent Duty Corpsman provider in San Diego, CA (NPI 1053994327).
Provider details
- NPI number
- 1053994327
- Entity type
- Individual
- Primary specialty
- Independent Duty CorpsmanOther Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
34101 Farenholt Ave
San Diego, CA 92134-7000
Phone: (619) 532-7968
Approximate (ZIP-level) locationGet directions
Mailing address
303 Combine Ct
Richlands, NC 28574-6404
Registry dates
- Enumerated
- 2021-05-04
- Last updated
- 2021-12-03
- Certified
- 2021-12-03
Frequently asked questions
- What is Jake Theobald's NPI number?
- Jake Theobald's National Provider Identifier (NPI) is 1053994327, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jake Theobald's specialty?
- Jake Theobald is listed in the NPPES registry with a primary specialty of Independent Duty Corpsman (Other Service Providers).
- Where is Jake Theobald located?
- Jake Theobald's practice location on file with NPPES is 34101 Farenholt Ave, San Diego, CA 92134-7000.
- What is Jake Theobald's phone number?
- The practice phone number listed in the NPPES registry for Jake Theobald is (619) 532-7968.
- Is Jake Theobald's NPI active?
- Yes — Jake Theobald's NPI (1053994327) is active in the NPPES registry as of the last update on 2021-12-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.