ROBERT JULIAN JACKSON (NPI# 1265843437) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265843437 |
| Entity Type | Individual |
| Full Name | ROBERT JULIAN JACKSON |
| Credential | MD |
| Practice Address |
2121 Santa Monica Blvd Santa Monica CA 90404-2303 |
| Mailing Address |
350 W Thomas Rd Phoenix AZ 85013-4409 |
| Practice Telephone | 3108298319 |
| Practice Fax Number | 3108298607 |
| Enumeration Date | 2014-05-09 |
| Last Update Date | 2020-08-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
A155009 | CA | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | A155009 | CA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 350 W Thomas Rd, Phoenix, AZ 850134409 | 6024043322 | 6022945090 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538701487 | Robert Jackson | Physical Therapist | 3056 Healthy Way Ste 116, Birmingham, AL 35243-2435 | 2019-10-11 |
| 1881003655 | Robert Donald Jackson | Social Worker | 151 Knollcroft Rd # 116d, Lyons, NJ 07939-5001 | 2014-08-06 |
| 1780005496 | Robert Earl Jackson Jr. | Community Health Worker | 17 Wickham Dr, Columbus, GA 31907-6328 | 2013-12-23 |
| 1073942371 | Robert Jackson | Massage Therapist | 502 11th St Se, Decatur, AL 35601-4908 | 2013-11-06 |
| 1447548573 | Robert Joseph Jackson | Licensed Practical Nurse | 5454 East State St, Hermitage, PA 16148 | 2011-07-11 |
| 1457515330 | Robert Anthony Jackson | Dentist | 2816 Veach Rd., Unit 305, Owensboro, KY 42303 | 2008-07-10 |
| 1437357399 | Robert D Jackson | Counselor | 5525 Erindale Dr Ste 112, Colorado Springs, CO 80918-6960 | 2007-07-03 |
| 1174736029 | Robert Allan Jackson | Physician Assistant | 2109 Brookview Ter Apt B, Pekin, IL 61554-7320 | 2007-05-08 |
| 1144389347 | Robert W Jackson | Dentist | 209 Mimosa Dr, Thomasville, GA 31792-6633 | 2006-12-06 |
| 1144305152 | Robert Eric Jackson | Internal Medicine | 291 Indian Lake Blvd, Hendersonville, TN 37075-3653 | 2006-10-26 |
| Street Address |
2121 SANTA MONICA BLVD |
| City | SANTA MONICA |
| State | CA |
| Zip Code | 90404-2303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528062023 | Lisa Martine Chaiken | Radiology | 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 | 2005-06-13 |
| 1003428673 | Geremy Zhang | Registered Nurse | 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 | 2020-08-17 |
| 1376152082 | Jennifer Scheller | Student in an Organized Health Care Education/Training Program | 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 | 2020-07-28 |
| 1710518881 | Niceto Lopez, M.d., A.p.c. | Internal Medicine | 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 | 2020-01-28 |
| 1780223412 | Genevieve Abanilla Veneracion | Nurse Practitioner | 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 | 2019-12-28 |
| 1013560515 | Breanne Grazer | Nurse Practitioner | 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 | 2019-07-23 |
| 1104310002 | Michelle Padilla Martinez | Nurse Practitioner | 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 | 2018-06-15 |
| 1952815714 | Frania Julianne Ciszewski | Nurse Practitioner | 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 | 2017-11-30 |
| 1609388271 | Tara Jean Kays | Nurse Practitioner | 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 | 2017-11-03 |
| 1770093734 | Providence Saint Johns Medical Foundation | Family Medicine | 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 | 2017-10-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306453352 | Jasmine Burton | Physical Therapist | 1714 17th Street, Santa Monica, CA 90404 | 2020-09-24 |
| 1003431685 | Cintia Haydee Ctibor | Behavior Technician | 1869 9th Street, Santa Monica, CA 90404 | 2020-06-10 |
| 1073137261 | Sydney Kristine Valerio | Counselor | 1869 9th St, Santa Monica, CA 90404 | 2020-06-03 |
| 1710507082 | James Gilbert Cunningham | Marriage & Family Therapist | 1708 Olympic Blvd, Santa Monica, CA 90404 | 2020-04-16 |
| 1841763687 | Crystal Monique Mckinley X | Counselor | 1865 9th St, Santa Monica, CA 90404 | 2019-01-04 |
| 1952872749 | Cesar O Munoz | Licensed Vocational Nurse | 1865 9th St., Santa Monica, CA 90404 | 2018-12-06 |
| 1023596574 | Joseph J Pinzone Md Inc | Internal Medicine | 2001 Santa Monica Blvd Ste 1190, Santa Monica, CA 90404 | 2018-08-06 |
| 1548763535 | Alan Rubenstein Dds Inc | Dentist | 1260 15th St., #703, Santa Monica, CA 90404 | 2018-03-15 |
| 1669993382 | Aaron Wilson | Counselor | 1453 16th Street, Santa Monica, CA 90404 | 2017-07-03 |
| 1922472471 | Chianni Lin | Acupuncturist | 2222 Santa Monica Blvd, Ste. 105, Santa Monica, CA 90404 | 2015-11-20 |
| Find all providers in zip 90404 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801079678 | Edward J. O'connor, Md, Inc. | Psychiatry & Neurology | 2811 Wilshire Blvd Ste 790, Santa Monica, CA 90403-4805 | 2007-12-14 |
| 1316011984 | Valeri Yarema | Psychiatry & Neurology | 1301 20th St Ste 360, Santa Monica, CA 90404-2087 | 2006-11-17 |
| 1730107012 | Verna Ruth Porter | Psychiatry & Neurology | 1301 20th St Ste 150, Santa Monica, CA 90404 | 2006-07-17 |
| 1457379836 | Barry Irwin Ludwig | Psychiatry & Neurology | 2811 Wilshire Blvd Suite 508, Santa Monica, CA 90403-4803 | 2006-07-17 |
| 1871558007 | Yasuhiro Maeda | Psychiatry & Neurology | 1801 Wilshire Blvd Ste 100, Santa Monica, CA 90403-5609 | 2006-04-19 |
| 1114557295 | The Regents of The University of California | Psychiatry & Neurology | 1801 Wilshire Blvd Ste 100, Santa Monica, CA 90403-5609 | 2020-01-17 |
| 1114301637 | Alexan Isahag Yerevanian | Psychiatry & Neurology | 1801 Wilshire Blvd Ste 100, Santa Monica, CA 90403-5609 | 2015-07-14 |
| 1528479383 | Dorothy Patrice Dada | Psychiatry & Neurology | 1811 Wilshire Blvd Ste 110, Santa Monica, CA 90403-5626 | 2014-05-14 |
| 1669716593 | Parampreet Singh Walia | Psychiatry & Neurology | 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 | 2012-11-15 |
| 1992057541 | Brookfield Group | Psychiatry & Neurology | 1158 26th St, Ste 504, Santa Monica, CA 90403-4698 | 2012-10-06 |
| Find all providers in SANTA MONICA | ||||
| City | SANTA MONICA |
| Zip Code | 90404 |
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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.