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Roge Jack Jacob, DDS

General Practice · San Jose

NPI 1891916912

Medicare standing
1 flag on the record
Listed below.
Plans that list them
1
1 carrier
Office
1

On the public record

  • Medicare does not list them as allowed to order and refer

Offices

1 location

Plans that list them

1 plan · 1 carrier

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Jacob’s office at (408) 267-2550 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

Plans whose provider directory lists this clinician
AARP Medicare Advantage from UHC CA-10 (HMO-POS)UnitedHealthcareListed, may be out of dateJun 10, 2026

California Medical Board record

Licence C41622 · Cancelled

Licence status: Cancelled · since 1984 · Indiana University School of Medicine.

License has been voluntarily canceled, or the license has been expired for at least five years and has not been renewed. No practice is permitted.

Matched on the licence number without its letter prefix; check the name before relying on it.

No disciplinary actions, convictions, malpractice judgments or citations in this record.

Drugs they prescribed that Part D paid

$196

Pharmacies billed $196 in 2024.

This is pharmacy cost, not the office bill, and not what patients paid.

Opioids were 0% of their Part D prescriptions (0 of 22) in 2024. Too few prescriptions to judge: with under about 50 a year, a handful of patients can swing this share.

22 generic and 0 brand-name prescriptions · $196 in drug cost · 17 antibiotic prescriptions to 13 people.

Part D prescriptions only. The opioid rate is opioid prescriptions as a share of all this clinician's Part D prescriptions; surgeons and pain specialists run higher than others, so it is shown against the same specialty.

Largest Part D drug costs
Amoxicillin12$57$5

Year by year

Part D prescribing by year
202422140% (0)0%$196
202314None0% (0)0%$129
202224140% (0)0%$316
202111None0% (0)0%$97
202017110% (0)None$162

Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.

See the drugs prescribed each year

2022: 1 drug

Part D drugs prescribed in 2022
Amoxicillin12$67$6

Money from drug and device companies

$48 in 2025

Industry payments by year
202523None$48
202212None$65

Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.

A payment is not proof that care is biased.

Payments by company
Straumann USANone$37
2 payments
  • Meals · 2025-06-05 · $21
  • Meals · 2025-05-19 · $15
VOCO AmericaMeron Plus Qm$12
1 payment
  • Meals for Meron Plus Qm · 2025-07-15 · $12
See all 3 published payments
Every published payment
VOCO AmericaMeals · 2025-07-15Meron Plus Qm$12
Straumann USAMeals · 2025-06-05None$21
Straumann USAMeals · 2025-05-19None$15
See earlier years (2022)

2022: $65

Payments by company in 2022
3m3m Relyx$65
2 payments
  • Meals for 3m Espe Filtek Supreme Ultra Universal Restorative · 2022-03-23 · $24
  • Meals for 3m Relyx · 2022-01-17 · $41

Professional record

NPI
1891916912
Licence
CA 41622California C41622: Cancelled
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 1223G0001X (1223G0001X)
Mailing address
1660 Hillsdale Ave Ste 130, San Jose, CA, 95124
NPI first listed
2007-05-02
NPI last updated
2007-07-08

This is when the NPI record was last certified, not a medical board exam.