MR. PAUL MAURICE JACKSON (NPI# 1053330704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053330704 |
| Entity Type | Individual |
| Full Name | MR. PAUL MAURICE JACKSON |
| Credential | M.D. |
| Practice Address |
20271 Merrick Dr Saratoga CA 95070-4960 |
| Practice Telephone | 4088675138 |
| Practice Fax Number | 4088675138 |
| Mailing Telephone | 4088675138 |
| Mailing Fax Number | 4088675138 |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2016-01-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | C23900 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | STATE LICENSE | C23900 | 01 |
| CA | DEA | AJ2021878 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477112522 | Paul A Jackson | Psychologist | 459 W Macarthur Blvd, Oakland, CA 94609-2808 | 2019-06-12 |
| 1114422599 | Paul Jackson | Student in an Organized Health Care Education/Training Program | 600 Elizabeth St, Gme, Corpus Christi, TX 78404 | 2018-03-27 |
| 1639435019 | Paul Jackson | Adult Companion | 2229 Pueblo Dr, Garland, TX 75040-4328 | 2012-04-10 |
| 1609005172 | Paul A Jackson Jr. | Counselor | 5117 Andrea Blvd, Suite 86, Sacramento, CA 95842-2518 | 2009-07-06 |
| 1467688564 | Paul S. Jackson | Student in an Organized Health Care Education/Training Program | 26 South 200 East, Suite 5900, Salt Lake City, UT 84112 | 2009-06-03 |
| 1043462815 | Paul Jackson | Driver | 34401 Calgary Ter, Fremont, CA 94555-2916 | 2008-10-10 |
| 1154435899 | Paul Thomas Jackson Jr. | Internal Medicine | 4550 Lamar Ave, Suite 200, Paris, TX 75462-5124 | 2006-08-19 |
| 1053322974 | Paul D Jackson | Obstetrics & Gynecology | 508 Arnold Ave, Greenville, MS 38701-5319 | 2006-08-10 |
| 1598706855 | Paul Brian Jackson | Optometrist | 6825 Parker Farm Dr, Wilmington, NC 28405-3168 | 2006-06-09 |
| 1942290606 | Paul Dennis Jackson | Psychiatry & Neurology | 2065 21st St Se Apt O, Hickory, NC 28602-3479 | 2005-10-25 |
| Street Address |
20271 MERRICK DR |
| City | SARATOGA |
| State | CA |
| Zip Code | 95070-4960 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326504366 | Cherissa W Chong, Dmd, Ms, Inc | Dentist | 12280 Saratoga Sunnyvale, Suite 101, Saratoga, CA 95070 | 2019-02-14 |
| 1306218052 | Louis Clement Zanger | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 13313 Via Madronas Dr., Saratoga, CA 95070 | 2015-10-21 |
| 1598187502 | Ali Tayaran | Dental Hygienist | 1480 Saratoga Ave, Saratoga, CA 95070 | 2014-01-09 |
| 1174954721 | Saratoga Senior Coordinating Council | Clinic/Center | 19655 Allendale Ave, Saratoga, CA 95070 | 2013-12-09 |
| 1851637227 | Dzogchen Healing Center | Chiropractor | 12948 Village Dr., Suite C, Saratoga, CA 95070 | 2012-12-12 |
| 1235499435 | Jennifer Liu | Dietitian, Registered | 19666 Ascension Dr., Saratoga, CA 95070 | 2012-05-22 |
| 1407159254 | Zhisheng Sun | Acupuncturist | 12175 Saratoga Sunnyvale Rd., Suite A, Saratoga, CA 95070 | 2010-12-17 |
| 1588980163 | Jovita Carpio | Anesthesiology | 18927 Sara Park Circle, Saratoga, CA 95070 | 2010-04-08 |
| 1790017184 | Janet Woody Cucciare | Speech-Language Pathologist | 20400 Saratoga Los Gatos, Saratoga, CA 95070 | 2010-02-10 |
| 1568699676 | Gregory L. Belcher, M.d., Inc | Family Medicine | 18805 Cox Avenue, #110, Saratoga, CA 95070 | 2009-06-16 |
| Find all providers in zip 95070 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275079659 | Asc Anesthesia Associates Inc | Internal Medicine | 14483 Chester Ave, Saratoga, CA 95070-5624 | 2017-01-10 |
| 1457895328 | Ralph H Wood | Internal Medicine | 19661 Junipero Way, Saratoga, CA 95070-4432 | 2016-12-13 |
| 1033571161 | Rodrigo Nicolas Cordero-pangrazio | Internal Medicine | 14358 Cordwood Ct, Saratoga, CA 95070-5628 | 2016-03-28 |
| 1396134334 | Harry Glatstein | Internal Medicine | 14159 Chester Ave, Saratoga, CA 95070-5619 | 2015-01-14 |
| 1558604561 | Mary Asano | Internal Medicine | 18893 Harleigh Dr, Saratoga, CA 95070-5246 | 2013-03-28 |
| 1851660708 | Edward Neil Levin | Internal Medicine | 13481 Chalet Clotilde Dr, Saratoga, CA 95070-4202 | 2011-12-21 |
| 1104118637 | Mary Susan Gable | Internal Medicine | 21206 Sarahills Dr, Saratoga, CA 95070-4869 | 2011-05-02 |
| 1306096078 | James Louis Striebel | Internal Medicine | 14480 Donna Lane, Saratoga, CA 95070-5516 | 2008-09-30 |
| 1932310406 | Saratoga Walk In Clinic | Internal Medicine | 12224 Saratoga Sunnyvale Road, Saratoga, CA 95070 | 2007-05-25 |
| 1730113747 | Rejuve, Inc A Professional Corporation | Internal Medicine | 14410 Big Basin Way Ste B, Saratoga, CA 95070-6036 | 2006-07-10 |
| Find all providers in SARATOGA | ||||
Please comment or provide details below to improve the information on MR. PAUL MAURICE JACKSON.
| 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.