Doctor profile · Federal record
Dr. Lourdes Jacobo, M.D.
Pediatrics Physician · Pediatrics Physician · Prescott, AZ
- NPI 1861548679
- 19 yrs on file
- Licensed in 2 states
- Female
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
2120 Centerpointe West Dr
Prescott, AZ 863018487
(928) 778-4581
fax (928) 776-1872 - Mailing address
-
16950 N 49Th Way
Scottsdale, AZ 852541082
Credentials & registration
- NPI registered
- January 2007 — 19 yrs on file
- Profile last updated
- August 25, 2016
- Specialty taxonomy
- 208000000X — NUCC code
- State licenses (2)
- Arizona #40096 · New Jersey #23974
- Medicaid
- AZ #401708
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1861548679. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$54
Transactions
3
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Pfizer INC. | 3 | $54.01 |
By nature of payment
Frequently asked questions
What is Dr. Lourdes Jacobo's medical specialty?
Dr. Lourdes Jacobo practices Pediatrics Physician in Prescott, AZ.
Where does Dr. Lourdes Jacobo practice?
Dr. Lourdes Jacobo practices at 2120 Centerpointe West Dr, Prescott, AZ 863018487. Office phone: 9287784581.
What is Dr. Lourdes Jacobo's NPI?
Dr. Lourdes Jacobo's National Provider Identifier (NPI) is 1861548679, issued by NPPES.