JUDY M JACKSON


Address: 1180 N. Indian Canyon Dr, Ste E218, Palm Springs, CA 92262-4800
Phone: 7604164770

JUDY M JACKSON (NPI# 1376512145) 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) 1376512145
Entity Type Individual
Full Name JUDY M JACKSON
Credential M.D.
Practice Address 1180 N. Indian Canyon Dr
Ste E218
Palm Springs
CA 92262-4800
Mailing Address 1180 N Indian Canyon Dr
Ste E218
Palm Springs
CA 92262-4800
Practice Telephone 7604164770
Practice Fax Number 7604164775
Mailing Telephone 7604164770
Mailing Fax Number 8664280708
Enumeration Date 2006-03-15
Last Update Date 2010-10-15
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0001X Radiology
Specialization: Radiation Oncology
G79717 CA Allopathic & Osteopathic Physicians

Other Providers JUDY JACKSON

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1962624387 Judy Eva Jackson Physical Therapist 38435 5th St. W, Apt J155, Palmdale, CA 93551 2007-05-03
1528286705 Judy Carlene Jackson Registered Nurse 10 Davis Ct, Glen Burnie, MD 21060-7709 2007-04-23
1851931026 Judy Jackson Registered Nurse 206 Gatewood Ave, High Point, NC 27262-4820 2020-01-15
1255700571 Judy Jackson Counselor 2801 Buford Hwy Ne, Suite T30, Brookhaven, GA 30329-2149 2015-09-16
1235486473 Judy Goldson Jackson Nurse Practitioner 2020 S Independence Blvd, Suite 5, Virginia Beach, VA 23453-4776 2012-08-07
1578847505 Judy Ellen Jackson Counselor 1950 N Okmulgee, Okmulgee, OK 74447-6534 2011-10-10
1629205224 Judy Jackson Marriage & Family Therapist 110 N Santa Cruz Ave, Suite C, Los Gatos, CA 95030-5919 2009-06-22

Office Location

Street Address 1180 N. INDIAN CANYON DR
STE E218
City PALM SPRINGS
State CA
Zip Code 92262-4800

Providers in the same location

NPI Name Taxonomy Address Enumeration
1679709679 Radiation Oncology Physicians, Inc. Clinic/Center 1180 N. Indian Canyon Dr, Ste E 218, Palm Springs, CA 92262-4800 2009-06-03

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1841815610 Dhara H Patel Student in an Organized Health Care Education/Training Program Gme Office, 1150 N. Palm Canyon Dr., Palm Springs, CA 92262 2020-06-08
1528683380 Lizmar Cerezo Perez Student in an Organized Health Care Education/Training Program Gme Office 1150 N. Palm Canyon Dr. Palm Springs, Ca 922, Palm Springs, CA 92262 2020-06-08
1629637285 Kimiko Tsuchiya Family Medicine 1150 North Palm Canyon Drive, Palm Springs, CA 92262 2019-06-07
1780240978 Aly Sue Vancil Counselor 19531 Mclane St Suite B, Palm Springs, CA 92262 2019-05-14
1013477843 Dennis Michael Woo Student in an Organized Health Care Education/Training Program 555 E. Tachevah Dr, Suite 2e - 204, Palm Springs, CA 92262 2019-03-19
1235609314 Leslie Nohemi Vargas Behavior Technician 130 Golden Sands Dr, Palm Springs, CA 92262 2018-11-30
1346723194 Eisenhower Medical Center General Acute Care Hospital 1401 North Palm Canyon Drive, Suite #202, Palm Springs, CA 92262 2018-09-07
1285123133 Thuan Thi Nguyen Social Worker 1751 North Sunrise Way Suite G, Palm Springs, CA 92262 2018-05-07
1598268641 Scotti Barnes Cassidy Social Worker 291 E Mel Ave Unit 261, Palm Springs, CA 92262 2018-03-15
1326577727 William Alan Lee Emergency Medicine 1150 North Indian Canyon Drive, Palm Springs, CA 92262 2017-06-08
Find all providers in zip 92262

Taxonomy Information

Taxonomy Code 2085R0001X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Radiation Oncology

Taxonomy Definition

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1306338090 Comprehensive Radiation Oncology, LLC Radiology 4685 S Congress Ave, Palm Springs, FL 33461-4761 2018-05-30
1508024852 Amir Lavaf Radiology 1180 N Indian Canyon Dr, Ste E218, Palm Springs, CA 92262-4800 2008-05-22

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1154933034 Andrew Lim Radiology 200 Medical Plaza Driveway Suite B265, Los Angeles, CA 90095-0001 2020-08-20
1083275200 Centerpoint Radiation Oncology, Inc. Radiology 8929 Wilshire Blvd Ste 100, Beverly Hills, CA 90211-1950 2019-06-27
1922450840 Cynthia Bajada Chasan Radiology 7401 Vista Del Mar Ave, La Jolla, CA 92037-4954 2016-07-02
1871906396 Sammy Mohamed Ashouri Radiology 300 Pasteur Dr Rm H1330, Stanford, CA 94305 2014-06-03
1235540469 Julian C Hong Radiology 1825 4th St Rm M2260, San Francisco, CA 94143-2350 2014-05-09
1295155422 Rishabh Chaudhari Radiology 880 E Tuolumne Rd Ste 101, Turlock, CA 95382-1549 2014-04-28
1407278211 Vincent S. T. Cheng Radiology 6022 W Sweet Dr, Visalia, CA 93291-8924 2014-01-13
1487085221 Peter Allison Austin Radiology 1655 Aspen Grove Ln, Diamond Bar, CA 91765-2953 2013-12-04
1760820666 Sandra Birdwell Radiology 1865 Camino De Los Robles, Menlo Park, CA 94025-5912 2013-06-13
1063859874 John Vidyadhar Hegde Radiology Ucla Medical Center Department of Radiation, 200 Ucla Medical Center, Suite B265, Los Angeles, CA 90095-0001 2013-06-03
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Competitor

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City PALM SPRINGS
Zip Code 92262

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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