GAIL N JACKSON MD PC (NPI# 1184734196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184734196 |
| Entity Type | Organization |
| Organization Name | GAIL N JACKSON MD PC |
| Practice Address |
1333 Ocean Ave Santa Monica CA 90401-1023 |
| Mailing Address |
Po Box 11692 Marina Del Rey CA 90295-7692 |
| Practice Telephone | 3104512300 |
| Practice Fax Number | 3104512325 |
| Mailing Telephone | 3104512300 |
| Mailing Fax Number | 3104512325 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2012-05-19 |
| Authorized Official Name | DR. GAIL N JACKSON (CEO/OWNER) |
| Authorized Official Telephone | 3106592666 |
| Authorized Official Credential | M.D., |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
G41783 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICARE | ET547A | 01 |
| Street Address |
1333 OCEAN AVE |
| City | SANTA MONICA |
| State | CA |
| Zip Code | 90401-1023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619293255 | Lisa M. Masterson Md A Professional Corporation | Obstetrics & Gynecology | 1333 Ocean Ave, Santa Monica, CA 90401-1023 | 2010-04-07 |
| 1164658241 | Emma Frances Sharp | Acupuncturist | 1333 Ocean Ave, Ste C, Santa Monica, CA 90401 | 2009-06-03 |
| 1578705695 | Carmen Navarro | Acupuncturist | 1333 Ocean Ave, Suite C, Santa Monica, CA 90401-1023 | 2009-04-03 |
| 1720131501 | Allyson Ann Gonzalez | Obstetrics & Gynecology | 1333 Ocean Ave, Santa Monica, CA 90401-1023 | 2007-01-18 |
| 1497843692 | Lisa M Masterson | Obstetrics & Gynecology | 1333 Ocean Ave, Santa Monica, CA 90401 | 2006-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013499458 | Franchesca Johnson Gordon | Marriage & Family Therapist | 900 Wilshire Blvd., Ste. 450, Santa Monica, CA 90401 | 2018-09-01 |
| 1629564083 | Michelle Jillian Dolinsky | Social Worker | 1243 7th St Ste C, Santa Monica, CA 90401 | 2018-07-09 |
| 1528507084 | Doctor Tlc, License Clinical Psychologist, Inc. | Community/Behavioral Health | 1242 Third St Promenade, Suite 208, Santa Monica, CA 90401 | 2017-02-16 |
| 1285006023 | Venessa Leeann Roca | Speech-Language Pathologist | 1218 6th Street, Santa Monica, CA 90401 | 2015-10-20 |
| 1720468036 | Stephen J. Kenneally | Marriage & Family Therapist | 610 Santa Monica Bvd, Ste. 201, Santa Monica, CA 90401 | 2015-06-02 |
| 1629458070 | Dominique L Robertson | Marriage & Family Therapist | 530 Wilshire, #310, Santa Monica, CA 90401 | 2015-06-01 |
| 1205252673 | Santa Monica Sports Medicine Inc. | Physical Medicine & Rehabilitation | 900 Wilshire Blvd. #410, Santa Monica, CA 90401 | 2014-03-10 |
| 1154675023 | Sherry Marie Martyn | Psychologist | 1242 3rd Street Promenade Ste 208, Santa Monica, CA 90401 | 2012-10-31 |
| 1700159829 | Gary Warburton | Dentist | 519 Arizona Ave., Santa Monica, CA 90401 | 2012-02-21 |
| 1265713036 | Aleksandr Mailyan | Reflexologist | 201 Wilshire Blvd #101, Santa Monica, CA 90401 | 2011-09-07 |
| Find all providers in zip 90401 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053483065 | Andrea L Stein | Obstetrics & Gynecology | 1301 - 20th, Suite 100, Santa Monica, CA 90404 | 2006-11-14 |
| 1083670400 | Stephen Michael Lieb | Obstetrics & Gynecology | 1304 15th Street, Suite 310, Santa Monica, CA 90404 | 2006-04-25 |
| 1619293255 | Lisa M. Masterson Md A Professional Corporation | Obstetrics & Gynecology | 1333 Ocean Ave, Santa Monica, CA 90401-1023 | 2010-04-07 |
| 1225229123 | Sandra Leong | Obstetrics & Gynecology | 1148 4th St, Santa Monica, CA 90403-5091 | 2007-08-06 |
| 1689891897 | Prudence Elizabeth Hall | Obstetrics & Gynecology | 1148 4th St, Santa Monica, CA 90403-5091 | 2007-04-19 |
| 1376643361 | Amy Rosenman | Obstetrics & Gynecology | 1450 10th St, 404, Santa Monica, CA 90401-2857 | 2006-09-22 |
| 1619987658 | Doron Blumenfeld | Obstetrics & Gynecology | 1245 16th St, #300, Santa Monica, CA 90404-1235 | 2006-08-09 |
| 1932119807 | Olivia Crookes | Obstetrics & Gynecology | 1245 16th St, #300, Santa Monica, CA 90404-1235 | 2006-08-09 |
| 1457369340 | Nadini Verma | Obstetrics & Gynecology | 1807 Wilshire Blvd, Suite C, Santa Monica, CA 90403 | 2006-08-04 |
| 1245254366 | Rodney Darrell Francis | Obstetrics & Gynecology | 530 Wilshire Blvd, 202b, Santa Monica, CA 90401-1421 | 2006-07-26 |
| Find all providers in SANTA MONICA | ||||
| City | SANTA MONICA |
| Zip Code | 90401 |
Please comment or provide details below to improve the information on GAIL N JACKSON MD PC.
| 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.