ANITA CAL JACKSON (NPI# 1063519486) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063519486 |
Entity Type | Individual |
Full Name | ANITA CAL JACKSON |
Credential | M.D. |
Practice Address |
44274 George Cushman Ct Ste 212 Temecula CA 92592-5945 |
Mailing Address |
1545 W Florida Ave Hemet CA 92543-3814 |
Practice Telephone | 9516944688 |
Practice Fax Number | 9516944760 |
Mailing Telephone | 9517911111 |
Mailing Fax Number | 9519253606 |
Enumeration Date | 2006-09-20 |
Last Update Date | 2020-07-09 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
A053675 | CA | Allopathic & Osteopathic Physicians |
N | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
A053675 | CA | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
31736 Mission Trl Ste G, Lake Elsinore, CA 925304533 | 9516741505 | 9512456397 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861059487 | Anita Rikki Jackson | Behavioral Analyst | 14420 W Side Blvd Apt 310, Laurel, MD 20707-6271 | 2019-05-20 |
1134699481 | Anita Dionne Jackson | In Home Supportive Care | 29 Baltimore Ln, Palm Coast, FL 32137-8851 | 2018-11-29 |
1699273789 | Anita Ann Jackson | Registered Nurse | 2853 Webb Ave Bronx Ny 10468, Bronx, NY 10468-2154 | 2018-01-24 |
1497285209 | Anita Johnson Jackson | Case Manager/Care Coordinator | 3204 N Ridge Rd, Tallahassee, FL 32305 | 2017-06-14 |
1548594831 | Anita K. Jackson | Chiropractor | 2505 Troy Pike, Versailles, KY 40383-9646 | 2009-09-21 |
1346286010 | Anita Louise Jackson | Otolaryngology | 4315 Ludgate St, Lumberton, NC 28358-2460 | 2006-06-21 |
1851785620 | Anita Denise Jackson | Social Worker | 9315 Telegraph Rd, Redford, MI 48239-1260 | 2015-03-19 |
1992125199 | Anita June Jackson | Registered Nurse | 680 S 4th St, Louisville, KY 40202-2407 | 2014-04-26 |
1366637993 | Anita Irene Jackson | Social Worker | 2311 Loveridge Rd, Pittsburg, CA 94565-5117 | 2007-09-06 |
1679620652 | Anita P Jackson | Counselor | 573 Brookover Ave, Zanesville, OH 43701-2101 | 2007-01-04 |
Street Address |
44274 GEORGE CUSHMAN CT STE 212 |
City | TEMECULA |
State | CA |
Zip Code | 92592-5945 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932110632 | Menifee Global Multi Specialty Group, Inc. | Family Medicine | 44274 George Cushman Ct Ste 212, Temecula, CA 92592-5945 | 2006-08-10 |
1659775708 | Maria Socorro Agorrilla | Nurse Practitioner | 44274 George Cushman Ct Ste 212, Temecula, CA 92592-5945 | 2014-10-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366051625 | Huey Q Tran, Dds, Inc. | Dentist | 33321 Temecula Parkway Ste 104, Temecula, CA 92592 | 2020-07-23 |
1902425465 | Isak Elkayam | Student in an Organized Health Care Education/Training Program | 31700 Temecula Parkway, Parkway Suites # 2- Gme, Temecula, CA 92592 | 2020-04-14 |
1033738737 | Jordan Buckley | Student in an Organized Health Care Education/Training Program | Uhs Socal Medical Education Consortium, 31700 Temecula Parkway Parkway Suites # 2- Gme, Temecula, CA 92592 | 2020-04-13 |
1366071052 | Areg Hovsepyan | Internal Medicine | 31700 Temecula Parkway Parkway Suites # 2- Gme, Temecula, CA 92592 | 2020-04-03 |
1558906982 | Session Sync, Inc. | Point of Service | 44262 Marcelina Court, Temecula, CA 92592 | 2019-11-08 |
1962964718 | Krishna Theja Reddy Venkatamuni Reddy | Student in an Organized Health Care Education/Training Program | Uhs Socal Medical Education Consortium, 31700 Temecula Parkway, Parkway Suites # 2- Gme, Temecula, CA 92592 | 2019-04-02 |
1598220246 | Shanay Lamont Moore | Behavior Technician | 30660 Milky Way Dr., V174, Temecula, CA 92592 | 2019-02-07 |
1477029502 | Tibbitts Temecula Dental Group | Clinic/Center | 32909 Temecula Parkway Ste 102, Temecula, CA 92592 | 2018-10-16 |
1720563364 | Nicole Louise Hernandez | Behavioral Analyst | 32144 Camino Nunez, Temecula, CA 92592 | 2018-09-29 |
1174010664 | Kiet Chau | Pharmacist | 32228 Highway 79 South, Temecula, CA 92592 | 2018-04-19 |
Find all providers in zip 92592 |
Taxonomy Code | 207QA0505X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Specialization | Adult Medicine |
Definition to come. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992062186 | Ferozan Karimi | Family Medicine | 27305 Madison Ave, Temecula, CA 92590-5642 | 2012-04-12 |
NPI | Name | Taxonomy | Address | Enumeration |
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1306446091 | Candace Maglinao | Family Medicine | 21010 Anza Ave Apt 12, Torrance, CA 90503-4254 | 2020-10-30 |
1942826797 | In-home Medical Mobile Services, Inc. | Family Medicine | 3400 E 8th St Ste 202, National City, CA 91950-3169 | 2020-06-17 |
1386269306 | Universal Mobile Doctors Inc | Family Medicine | 15333 Sherman Way Ste P, Van Nuys, CA 91406-4204 | 2020-06-16 |
1619597671 | Harry Eisenbach | Family Medicine | 9312 Smoketree Ln, Villa Park, CA 92861-1011 | 2020-04-20 |
1669092854 | Wellbeing Clinic Inc | Family Medicine | 1621 S New Hampshire Ave, Los Angeles, CA 90006-4513 | 2020-04-17 |
1619513611 | Krista Mckinney | Family Medicine | 344o E. La Palma Avenue, Anaheim, CA 92806 | 2019-11-25 |
1457995565 | Ucsf Medical Group Business Services | Family Medicine | 1100 Park Pl Ste 100, San Mateo, CA 94403-7119 | 2019-10-31 |
1780237313 | Charles Kim Md Inc | Family Medicine | 3055 W Orange Ave Ste 204, Anaheim, CA 92804-3154 | 2019-07-23 |
1083277206 | Baum 5 Star Healthcare | Family Medicine | 560 W Grangeville Blvd Ste A, Hanford, CA 93230-2858 | 2019-04-15 |
1477025278 | Connexus Family Clinic Inc | Family Medicine | 1930 E. Anaheim Street, N/a, Long Beach, CA 90813-3908 | 2018-12-19 |
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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.