MR. KEITH ALLEN JACKSON


Address: 3000 Q St Fl 4, Sacramento, CA 95816-7058
Phone: 9167335700

MR. KEITH ALLEN JACKSON (NPI# 1326527045) 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) 1326527045
Entity Type Individual
Full Name MR. KEITH ALLEN JACKSON
Credential PA-C
Practice Address 3000 Q St Fl 4
Sacramento
CA 95816-7058
Mailing Address 3400 Data Dr
Rancho Cordova
CA 95670-7956
Practice Telephone 9167335700
Practice Fax Number 9167335714
Enumeration Date 2018-08-13
Last Update Date 2018-10-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
PA55837 CA Physician Assistants & Advanced Practice Nursing Providers

Other Providers KEITH JACKSON

NPI Name Taxonomy Address Enumeration
1407491673 Keith Jackson Home Health 2934 Pelzer Ave, Montgomery, AL 36109-2147 2019-11-12
1871935569 Keith Daniel Jackson Dentist 10868 Us Highway 15 501, Southern Pines, NC 28387-5149 2013-07-23
1720263031 Keith Edward Jackson Nurse Practitioner 11114 Endicott Ln, Houston, TX 77035-3007 2008-01-04
1205866142 Keith E Jackson Nurse Anesthetist, Certified Registered 100 Rice Mine Rd N, Tuscaloosa, AL 35406-2300 2006-07-04
1225016454 Keith Jackson Otolaryngology 1360 Upper Hembree Rd Ste 201b, Roswell, GA 30076-1230 2006-01-06
1184278129 Keith T. Jackson Physical Therapist 4000 Johnson Rd, Steubenville, OH 43952-2364 2019-07-29
1457837551 Keith Jackson Case Manager/Care Coordinator 1430 Olive St Ste 400, Saint Louis, MO 63103-2303 2018-07-12
1952890030 Keith Wesley Jackson Pharmacist 1900 Carew St Ste 4, Fort Wayne, IN 46805-4765 2018-05-04
1033557228 Keith L Jackson Rehabilitation Practitioner 7381 Prairie Falcon Rd, Las Vegas, NV 89128-0811 2013-06-10
1033461280 Keith Darnell Jackson Social Worker 7550 Constantinople Ave, Las Vegas, NV 89129-6505 2012-10-12

Office Location

Street Address 3000 Q ST FL 4
City SACRAMENTO
State CA
Zip Code 95816-7058

Providers in the same location

NPI Name Taxonomy Address Enumeration
1669556965 Edwin A Cruz Psychiatry & Neurology 3000 Q St Fl 4, Sacramento, CA 95816-7058 2006-10-24
1184101354 Amanda Krause Tirpack Physician Assistant 3000 Q St Fl 4, Sacramento, CA 95816-7058 2018-07-20
1154830511 Jody Lynn Davis Registered Nurse 3000 Q St Fl 4, Sacramento, CA 95816-7058 2017-09-28
1245686211 Stephanie L Yniguez Physician Assistant 3000 Q St Fl 4, Sacramento, CA 95816-7058 2016-05-10
1245665884 Andrew Jason Bloom Physician Assistant 3000 Q St Fl 4, Sacramento, CA 95816-7058 2013-09-12
1588891998 Edward H Lee Internal Medicine 3000 Q St Fl 4, Sacramento, CA 95816 2009-06-12
1861643694 Jennifer Campbell Nutritionist 3000 Q St Fl 4, Sacramento, CA 95816-7058 2008-10-10
1821245168 Rita Estanol Physician Assistant 3000 Q St Fl 4, Sacramento, CA 95816-7058 2008-08-19
1003080557 Ryan Andrew Armour Psychiatry & Neurology 3000 Q St Fl 4, Sacramento, CA 95816-7058 2008-04-16
1144365529 Michael Y Han Orthopaedic Surgery 3000 Q St Fl 4, Sacramento, CA 95816-7058 2007-02-21
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1922618917 Alyssa Weakley Clinical Neuropsychologist Uc Davis Midtown Neurology Clinic, 3160 Folsom Blvd, Sacramento, CA 95816 2020-08-04
1417418955 Soraya Foutouhi Student in an Organized Health Care Education/Training Program 301 C Street, Suite 1400, Sacramento, CA 95816 2019-03-27
1265902704 Daljit Girn Behavior Technician 1315 Alhambra Blvd Ste 110, Sacramento, CA 95816 2018-11-27
1609385178 Jared James Harold-husted Behavior Technician 3031 C St, Sacramento, Sacramento, CA 95816 2017-09-27
1124537170 Phuong Huynh Behavior Technician 3009 C Street, Sacramento, CA 95816 2017-09-21
1427570811 Manpreet Kaur Chehal Counselor 500 22nd Street, Sacramento, CA 95816 2017-07-07
1295264646 Veronica Lynn Just Behavior Technician 3031 C St., Sacramento, CA 95816 2017-06-08
1285163907 Marquise Jones Behavior Technician 3031 C Street, Sacramento, CA 95816 2017-06-06
1578007159 Kate Hanel Student in an Organized Health Care Education/Training Program 2500 I St, Sacramento, CA 95816 2016-12-15
1184174534 Jennifer M Stegner Nurse Practitioner 1625 Stockton Blvd #104, Sacramento, CA 95816 2016-10-10
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1811230493 Kimberly Michaelle Smith Physician Assistant 2315 Stockton Blvd Rm 6312, Sacramento, CA 95817 2013-04-01
1972651644 Joan Collette Wolf Physician Assistant 20025 Morse Ave Suite 2e, Sacramento, CA 95825 2007-01-08
1336200427 Judi Price Physician Assistant Kaiser Permanente Dept of Orthopedics, 2025 Morse Ave, Sacramento, CA 95825 2006-12-12
1205900792 Jennifer L Bowman Physician Assistant 3939 J Street, Suite 320, Sacramento, CA 95819 2006-11-17
1699737361 Michael Patrick Reising Physician Assistant 3424 Trio Ln, Sacramento, CA 95817-2071 2006-04-06
1689233256 Jack Wilbur Jones IIi Physician Assistant 2825 Capitol Ave, Sacramento, CA 95816-6039 2019-06-07
1801361571 Jaymie Dee Pearcy Physician Assistant 1430 22nd St, Sacramento, CA 95816-5708 2018-10-09
1467958827 Logan Scherer Physician Assistant 555 Capitol Mall Ste 570, Sacramento, CA 95814-4502 2018-04-04
1215329396 Bernadette Hystad Physician Assistant 2221 Stockton Blvd, 2112, Sacramento, CA 95817-1418 2015-02-26
1457759359 Kimberly Ward Physician Assistant 3301 C St, Bldg 550, Sacramento, CA 95816-3300 2014-12-09
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Competitor

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City SACRAMENTO
Zip Code 95816

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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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