DR. BERNICE BODDIE JACKSON (NPI# 1003146168) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003146168 |
| Entity Type | Individual |
| Full Name | DR. BERNICE BODDIE JACKSON |
| Credential | M.D. |
| Practice Address |
241 N. Figueroa St. Los Angeles CA 90012-2601 |
| Mailing Address |
P.o. Box 19788 Los Angeles CA 90019-0788 |
| Practice Telephone | 2139897168 |
| Mailing Telephone | 3239386586 |
| Enumeration Date | 2010-01-12 |
| Last Update Date | 2010-01-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
G37001 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639195407 | Bernice D. Jackson | Internal Medicine | 1160 Varnum St Ne, Suite 314, Washington, DC 20017-2107 | 2006-07-14 |
| Street Address |
241 N. FIGUEROA ST. |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90012-2601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538654124 | Los Angeles County Children and Families First - Proposition 10 Commis | Case Management | 750 N. Alameda Street, Suite 300, Los Angeles, CA 90012 | 2018-06-26 |
| 1750886511 | Pain Control Clinic | Acupuncturist | 321 E. 1st St. #220, Los Angeles, CA 90012 | 2018-03-26 |
| 1891224325 | Brenda D Sazo | Community Health Worker | 1000 N. Alameda St, # 350, Los Angeles, CA 90012 | 2017-06-08 |
| 1740719012 | Fatemeh Arabpour | Dentist | 505 N Figueroa Apt #534, Los Angeles, CA 90012 | 2017-06-08 |
| 1033667662 | Olga Witrago | Case Manager/Care Coordinator | 701 W Cersar Chavez Suite 201, Los Angeles, CA 90012 | 2016-09-12 |
| 1902269962 | Samantha Martinez | Licensed Practical Nurse | 701 West Cesar Chavez Av, Los Angeles, CA 90012 | 2016-03-29 |
| 1760847313 | Maria Emilia Manosa Rosales | Social Worker | 701 W. Cesar Chavez Ave., Los Angeles, CA 90012 | 2015-12-28 |
| 1609242999 | Hilary Adams | Psychologist | 250 E 1st St Ste 300, Los Angeles, CA 90012 | 2015-08-20 |
| 1831586288 | Thanh Ngoc Nguyen Trinh | Nurse Practitioner | 180 N Los Angeles St, Los Angeles, CA 90012 | 2015-04-23 |
| 1760880827 | Bertha Regina Garcia | Licensed Vocational Nurse | 701 W. Cesar E. Chavez Ave Suite201, Los Angeles, CA 90012 | 2014-12-05 |
| Find all providers in zip 90012 | ||||
| Taxonomy Code | 2083X0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Occupational Medicine |
| Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427588706 | Metro Healthcare Medical Corporation | Preventive Medicine | 3440 Wilshire Blvd Ste 1207, Los Angeles, CA 90010-2127 | 2017-06-19 |
| 1831566934 | Marilyn Zwass | Preventive Medicine | 150 N Poinsettia Pl, Los Angeles, CA 90036-2806 | 2015-08-25 |
| 1477984672 | Steve Shvartsblat | Preventive Medicine | 3333 Wilshire Blvd, Suite 1000, Los Angeles, CA 90010-4101 | 2013-12-13 |
| 1588814107 | Phyllis Denine Paul-jordan | Preventive Medicine | 111 N Hope St Rm 538, Los Angeles, CA 90012-2607 | 2008-09-19 |
| 1376724757 | Jonathan Everett Rubinow | Preventive Medicine | 2759 Creston Dr, Los Angeles, CA 90068 | 2007-11-14 |
| 1851487359 | James Lemus | Preventive Medicine | 5020 East Washington Blvd., Los Angeles, CA 90040-1237 | 2006-10-04 |
| 1568910701 | U.S. Healthworks Medical Group, PC | Preventive Medicine | 1313 W 8th St, Suite 100, Los Angeles, CA 90017-4420 | 2016-09-16 |
| 1265988257 | Today Healthcare Inc | Preventive Medicine | 3540 Wilshire Blvd Ste 501, Los Angeles, CA 90010-2349 | 2016-08-30 |
| 1982159729 | U.S. Healthworks Medical Group, PC | Preventive Medicine | 434 S San Vicente Blvd, Suite 100, Los Angeles, CA 90048-4108 | 2016-08-22 |
| 1457697310 | Vermont Workers Comp Center, Inc. | Preventive Medicine | 1234 N Vermont Ave, Los Angeles, CA 90029-1704 | 2012-12-21 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90012 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.