MR. DOUGLAS R JACKSON (NPI# 1063432342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063432342 |
| Entity Type | Individual |
| Full Name | MR. DOUGLAS R JACKSON |
| Credential | MD |
| Practice Address |
517 W Junipero St Unit 1 334 S Patterson Ave #120 Santa Barbara CA 93105-4239 |
| Mailing Address |
8424 Vereda Del Padre Goleta CA 93117-5316 |
| Practice Telephone | 8056828844 |
| Practice Fax Number | 8056824735 |
| Mailing Telephone | 8056852878 |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2008-07-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | G29536 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DEA # | AJ8480547 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730384744 | Douglas Reed Jackson | Neuromusculoskeletal Medicine & OMM | 3211 Applewood Rd, Midland, MI 48640-2666 | 2007-06-19 |
| 1245367655 | Douglas Wayne Jackson | Dentist | 5540 S 79th E Place, Tulsa, OK 74145-7846 | 2007-02-27 |
| 1457401762 | Douglas Jackson | Dentist | 714 E. 4th Ave, Red Springs, NC 28377 | 2007-01-11 |
| 1760412241 | Douglas Gilbert Jackson I | Nurse Practitioner | 14827 Foothill Rd, Santa Paula, CA 93060-9733 | 2006-07-03 |
| 1962472407 | Douglas T Jackson | Anesthesiology | 150 Bargen St, F 102, Newark, NJ 07103 | 2006-01-26 |
| 1184277857 | Douglas Jackson | Nurse Practitioner | 1100 Reid Pkwy, Richmond, IN 47374-1157 | 2019-07-22 |
| 1427394147 | Douglas Ray Jackson | Pharmacist | 600 Sheldon St, Creston, IA 50801-3322 | 2012-12-27 |
| 1891071635 | Douglas Scott Jackson | Pharmacist | 116 S George St, Suite 101, York, PA 17401-1474 | 2011-10-25 |
| 1013160316 | Douglas Clarence Jackson | Specialist | 2384 Atlantic Ave, Brooklyn, NY 11233-3402 | 2008-10-30 |
| 1912076639 | Douglas L Jackson | Nurse Anesthetist, Certified Registered | 100 Peyton Way, Suite 200, Charleston, WV 25309-8572 | 2006-11-07 |
| Street Address |
517 W JUNIPERO ST UNIT 1 334 S PATTERSON AVE #120 |
| City | SANTA BARBARA |
| State | CA |
| Zip Code | 93105-4239 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831716307 | Christopher Robert Ray Hyde | Student in an Organized Health Care Education/Training Program | Santa Barbara Cottage Hospital- Medical Education, 400 W Pueblo Street, Santa Barbara, CA 93105 | 2020-07-01 |
| 1023635562 | Yana Gristan | Student in an Organized Health Care Education/Training Program | Santa Barbara Cottage Hospital - Medical Education, 400 W Pueblo Street, Santa Barbara, CA 93105 | 2020-07-01 |
| 1346867918 | Neelima Archana Mohan | Student in an Organized Health Care Education/Training Program | Santa Barbara Cottage Hospital-medical Education, 400 W Pueblo Street, Santa Barbara, CA 93105 | 2020-06-30 |
| 1861019358 | Jerry Peng Jiang | Student in an Organized Health Care Education/Training Program | Santa Barbara Cottage Hospital -medical Education, 400 W Pueblo Street, Santa Barbara, CA 93105 | 2020-06-30 |
| 1073153250 | California Telemedicine Associates, P.C. | Pediatrics | 2830 Glendessary Lane, Santa Barbara, CA 93105 | 2020-01-15 |
| 1275190233 | Paul Seo | Student in an Organized Health Care Education/Training Program | Sbch Medical Education, 400 W Pueblo Street, Santa Barbara, CA 93105 | 2019-05-24 |
| 1174009062 | Hannah Wilks Kornfeld | Student in an Organized Health Care Education/Training Program | Sbch, Surgical Education, 400 W Pueblo Street, Santa Barbara, CA 93105 | 2018-07-14 |
| 1174010896 | Thuthiri Thandar Lwin | Student in an Organized Health Care Education/Training Program | Sbch Medical Education Office, 400 W Pueblo Street, Santa Barbara, CA 93105 | 2018-04-18 |
| 1649771056 | Jeremy Middleton | Student in an Organized Health Care Education/Training Program | Sbch, Medical Education Office, 400 W Pueblo Street, Santa Barbara, CA 93105 | 2018-02-22 |
| 1720593502 | Spencer E Price | Radiology | 400 W Pueblo St Dept Of, Santa Barbara, CA 93105 | 2017-12-03 |
| Find all providers in zip 93105 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275914723 | Kirk Gilbert A Professional Medical Corporation | Family Medicine | 415 Los Robles Ln, Santa Barbara, CA 93105-2966 | 2015-06-10 |
| 1871974311 | Jerome T Kay M D Inc | Family Medicine | 620 Stone Meadow Ln, Santa Barbara, CA 93108-1233 | 2015-06-10 |
| 1750760765 | Zugan Health Medical Corporation | Family Medicine | 1015 De La Vina St, Ste E, Santa Barbara, CA 93101-3244 | 2015-05-22 |
| 1821336876 | Diane Sue Cable | Family Medicine | 4808 Ogram Rd, Santa Barbara, CA 93105-9732 | 2013-01-25 |
| 1366619587 | Janette Harbottle Hope | Family Medicine | 304 W Los Olivos St, Santa Barbara, CA 93105-4307 | 2008-05-15 |
| 1053586107 | Said A Shehata | Family Medicine | 284 Gould Ln, Santa Barbara, CA 93108-2650 | 2008-04-29 |
| 1780884957 | Roberta Kauffmann Wingfield | Family Medicine | 1018 Garden St Ste 108, Santa Barbara, CA 93101-7424 | 2007-07-24 |
| 1982804076 | Carl Hennessy Williams | Family Medicine | 400 E Pedregosa St, #b, Santa Barbara, CA 93103 | 2007-07-18 |
| 1811027899 | Anthony Alfred Allina | Family Medicine | 1424 E Valley Rd, Santa Barbara, CA 93108-1205 | 2007-03-07 |
| 1164577631 | Kevin Michael Cook | Family Medicine | Ucsb, Student Health Service, Santa Barbara, CA 93106-0001 | 2007-01-24 |
| Find all providers in SANTA BARBARA | ||||
| City | SANTA BARBARA |
| Zip Code | 93105 |
Please comment or provide details below to improve the information on MR. DOUGLAS R 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.