ANITA CAL JACKSON


Address: 44274 George Cushman Ct Ste 212, Temecula, CA 92592-5945
Phone: 9516944688

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).

Provider Overview

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

Taxonomy

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

Provider Secondary Practice Location

Address Telephone Number Fax Number
31736 Mission Trl Ste G, Lake Elsinore, CA 925304533 9516741505 9512456397

Other Providers ANITA JACKSON

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

Office Location

Street Address 44274 GEORGE CUSHMAN CT STE 212
City TEMECULA
State CA
Zip Code 92592-5945

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207QA0505X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine
Specialization Adult Medicine

Taxonomy Definition

Definition to come.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1992062186 Ferozan Karimi Family Medicine 27305 Madison Ave, Temecula, CA 92590-5642 2012-04-12

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
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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Competitor

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City TEMECULA
Zip Code 92592

Improve Information

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Dataset Information

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.

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