IndividualActive
Jacob Luke, RN
NPI 1114780764 · Medical Specialty Clinic/Center · Placerville, CA
Provider details
- NPI number
- 1114780764
- Entity type
- Individual
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Credential
- RN
- Sex
- Male
- Sole proprietor
- Yes
- License
- 95345401 (CA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% 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
935b Spring St
Placerville, CA 95667-4523
Phone: (530) 621-6213
Street-level locationGet directions
Mailing address
1891 Cedar Oak Rd
Placerville, CA 95667-7883
Registry dates
- Enumerated
- 2024-02-05
- Last updated
- 2024-02-05
- Certified
- 2024-02-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.