OrganizationActive
Randy Jacobs Dermatology Inc.
NPI 1699872630 · Dermatology Physician · Sun City, CA
Randy Jacobs Dermatology Inc. is a Dermatology Physician organization in Sun City, CA (NPI 1699872630).
Provider details
- NPI number
- 1699872630
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Tammy Bolon, Office Manager(951) 672-7673
- License
- A049395 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
27640 Encanto Dr
# B
Sun City, CA 92586-3304
Phone: (951) 672-7673
Fax: (951) 672-1197
Street-level locationGet directions
Mailing address
23905 Clinton Keith Rd
Wildomar, CA 92595-7899
Registry dates
- Enumerated
- 2006-09-20
- Last updated
- 2008-03-12
Frequently asked questions
- What is Randy Jacobs Dermatology Inc.'s NPI number?
- Randy Jacobs Dermatology Inc.'s National Provider Identifier (NPI) is 1699872630, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Randy Jacobs Dermatology Inc.?
- Randy Jacobs Dermatology Inc. is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Randy Jacobs Dermatology Inc. located?
- Randy Jacobs Dermatology Inc.'s practice location on file with NPPES is 27640 Encanto Dr, Sun City, CA 92586-3304.
- What is Randy Jacobs Dermatology Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Randy Jacobs Dermatology Inc. is (951) 672-7673.
- Who is the authorized official for Randy Jacobs Dermatology Inc.?
- The authorized official listed on Randy Jacobs Dermatology Inc.'s NPPES record is Tammy Bolon, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Randy Jacobs Dermatology Inc.'s NPI active?
- Yes — Randy Jacobs Dermatology Inc.'s NPI (1699872630) is active in the NPPES registry as of the last update on 2008-03-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.