PAUL JACKSON


Address: 9890 County Farm Rd Ste 2, Riverside, CA 92503
Phone: 9515092499

PAUL JACKSON (NPI# 1215235866) 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) 1215235866
Entity Type Individual
Full Name PAUL JACKSON
Practice Address 9890 County Farm Rd Ste 2
Riverside
CA 92503
Mailing Address 9825 Magnolia Ave Ste B
Riverside
CA 92503-3565
Practice Telephone 9515092499
Enumeration Date 2011-03-07
Last Update Date 2019-04-24
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 175T00000X Peer Specialist CA Other Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
620 N Ash St, Escondido, CA 920271902 7607417708

Other Providers PAUL JACKSON

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
1053330704 Paul Maurice Jackson Internal Medicine 20271 Merrick Dr, Saratoga, CA 95070-4960 2006-07-19
1598706855 Paul Brian Jackson Optometrist 6825 Parker Farm Dr, Wilmington, NC 28405-3168 2006-06-09

Office Location

Street Address 9890 COUNTY FARM RD STE 2
City RIVERSIDE
State CA
Zip Code 92503

Providers in the same location

NPI Name Taxonomy Address Enumeration
1699709865 Georgea Madeira Marriage & Family Therapist 9890 County Farm Rd Ste 2, Riverside, CA 92503-3678 2006-07-11
1699387019 Deshan White Peer Specialist 9890 County Farm Rd Ste 2, Riverside, CA 92503-3678 2020-08-18
1306458823 Shannon Lynette Ermshar Peer Specialist 9890 County Farm Rd Ste 2, Riverside, CA 92503-3678 2020-08-17
1619505088 Edgar J Cervantes Marriage & Family Therapist 9890 County Farm Rd Ste 2, Riverside, CA 92503-3678 2020-03-31
1528693090 Cecelia Ariane Ali Marriage & Family Therapist 9890 County Farm Rd Ste 2, Riverside, CA 92503-3678 2020-03-05
1790318202 Venessa Hernandez Peer Specialist 9890 County Farm Rd Ste 2, Riverside, CA 92503-3678 2020-02-13
1184263865 Alejandro Ulloa Counselor 9890 County Farm Rd Ste 2, Riverside, CA 92503-3678 2019-12-30
1164067534 Da'meon Sherell Wilkes Social Worker 9890 County Farm Rd Ste 2, Riverside, CA 92503-3678 2019-11-08
1235773763 Paul Joseph Dinsmore Counselor 9890 County Farm Rd Ste 2, Riverside, CA 92503-3678 2019-10-28
1316588262 Joyce Munyan Licensed Vocational Nurse 9890 County Farm Rd Ste 2, Riverside, CA 92503-3678 2019-10-02
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255953618 Mohammad Abul-fielat Dds Inc Dentist 3825 Tyler St, Riverside, CA 92503 2020-05-08
1205396488 Francisco Aguayo Behavioral Analyst 3345 Jackson St, Riverside, CA 92503 2019-03-22
1073071684 Racheal Ego Aneke Nurse Practitioner 9890 County Farm Rd., Building 2, Riverside, CA 92503 2019-03-04
1073070264 Luxottica of America Inc. Eyewear Supplier (Equipment, not the service) 3500 Tyler Mall, Riverside, CA 92503 2019-02-25
1053893271 Tsibel Dental Practice Inc. Dentist 10181 Magnolia Ave, Riverside, CA 92503 2018-09-04
1508344714 Patricia Marraine Redondo Counselor 1625 14th St, Riverside, CA 92503 2018-07-31
1740766146 Robles Rodef & Yaghoubi Dental Corporation Dentist 5628 Van Buren Blvd Suite #a, Riverside, CA 92503 2018-07-18
1467961755 Daniela Popa Assisted Living Facility 10820 Calle Bella, Riverside, CA 92503 2017-09-29
1457860306 Leah Dreany Peer Specialist 2085 Rustin Avenue Building #3, Riverside, CA 92503 2017-09-22
1710400445 Christopher John Guting Peer Specialist 10230 Indiana Avenue, Riverside, CA 92503 2017-07-25
Find all providers in zip 92503

Taxonomy Information

Taxonomy Code 175T00000X
Grouping Other Service Providers
Classification Peer Specialist

Taxonomy Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Notes: Source: National Uniform Claim Committee [7/1/2014: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1477047835 Deborah Kay Allen Peer Specialist 6939 Morningside Ave, Riverside, CA 92504 2018-06-19
1053802769 Miesha Hale Peer Specialist 1820 University Ave Ste 2b, Riverside, CA 92507-5355 2018-05-29
1538677612 Monica Munoz Peer Specialist 9991c County Farm Rd, Riverside, CA 92503-3506 2018-01-11
1457860306 Leah Dreany Peer Specialist 2085 Rustin Avenue Building #3, Riverside, CA 92503 2017-09-22
1043738099 Colene Lavonne Roberts Peer Specialist 9890 County Farm Rd # 2, Riverside, CA 92503-3505 2017-08-30
1710400445 Christopher John Guting Peer Specialist 10230 Indiana Avenue, Riverside, CA 92503 2017-07-25
1841713203 Denise Darlene Leeper Peer Specialist 771 W. Blaine St, Suite C., Riverside, CA 92507 2017-07-18
1427590058 Jennifer Hayford Peer Specialist 3250 Panorama Rd Apt 139, Riverside, CA 92506-1351 2016-11-14
1144693953 Michelle Elaine Martinez Peer Specialist 5012 Arlington Ave, Riverside, CA 92504-2710 2015-11-03
1558733824 Gina Irvin Peer Specialist 771 W Blaine St # C, Riverside, CA 92507-3940 2015-10-27
Find all providers in RIVERSIDE

Competitor

Search similar providers

City RIVERSIDE
Zip Code 92503

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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