ROBERT J JACKSON M.D., INC. (NPI# 1538190830) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538190830 |
| Entity Type | Organization |
| Organization Name | ROBERT J JACKSON M.D., INC. |
| Practice Address |
23961 Calle De La Magdalena 504 Laguna Hills CA 92653-3616 |
| Practice Telephone | 9495885800 |
| Practice Fax Number | 9493803344 |
| Mailing Telephone | 9495885800 |
| Mailing Fax Number | 9493803344 |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2007-11-06 |
| Authorized Official Name | DR. ROBERT J JACKSON (OWNER) |
| Authorized Official Telephone | 9495885800 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | A71112 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
23961 CALLE DE LA MAGDALENA 504 |
| City | LAGUNA HILLS |
| State | CA |
| Zip Code | 92653-3616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982600938 | Robert Frank Wayner | Neurological Surgery | 23961 Calle De La Magdalena, Ste 300, Laguna Hills, CA 92653-3665 | 2005-06-23 |
| 1255949467 | Phillip Carr | Physical Therapist | 23961 Calle De La Magdalena, Laguna Hills, CA 92653-3616 | 2020-07-14 |
| 1376078980 | Denise Ann Harkless | Social Worker | 23961 Calle De La Magdalena, Suite 424, Laguna Hills, CA 92653-3616 | 2017-04-21 |
| 1356891469 | Jewell Justiniani-allen | Social Worker | 23961 Calle De La Magdalena, Suite 424, Laguna Hills, CA 92653-3616 | 2016-10-12 |
| 1487001178 | Said Elshihabi Md Apc | Neurological Surgery | 23961 Calle De La Magdalena, Suite 504, Laguna Hills, CA 92653-3616 | 2016-05-23 |
| 1518344647 | Soraya Dental Corporation | Dentist | 23961 Calle De La Magdalena, Laguna Hills, CA 92653-3616 | 2015-04-27 |
| 1396148516 | Wave Imaging LLC | Clinic/Center | 23961 Calle De La Magdalena, Suite 243, Laguna Hills, CA 92653-3616 | 2014-10-01 |
| 1356761126 | Neurodpm, Inc. | Neurological Surgery | 23961 Calle De La Magdalena, Suite 504, Laguna Hills, CA 92653-3616 | 2014-04-21 |
| 1730517780 | Yanling Song | Nurse Practitioner | 23961 Calle De La Magdalena, Ste 333, Laguna Hills, CA 92653 | 2013-10-29 |
| 1063840734 | Robert G Feldman Inc | Nurse Practitioner | 23961 Calle De La Magdalena, Suite 333, Laguna Hills, CA 92653-3616 | 2013-10-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932708476 | Nikkie Veyseh | Behavior Technician | 26921 Falling Leaf Dr., Laguna Hills, CA 92653 | 2020-10-24 |
| 1609480425 | Steve Ceja | Behavior Technician | 25201 Paseo De Alicia Suite 110, Laguna Hills, CA 92653 | 2020-08-31 |
| 1467006882 | Kristina Alexa Puno Morales | Dietitian, Registered | 24552 Health Center Drive, Laguna Hills, CA 92653 | 2019-07-25 |
| 1164929626 | Shoreline Consulting Services, Inc. | Clinic/Center | 23010 Lake Forest Drive, Suite B, Laguna Hills, CA 92653 | 2018-04-11 |
| 1023511045 | Performance Health Medical Group | Non-Pharmacy Dispensing Site | 25431 Cabot Road Suite 118, Laguna Hills, CA 92653 | 2018-03-15 |
| 1831613850 | Stephani A Berg | Physical Medicine & Rehabilitation | 24422 Avenida De La Carlota Suite 190, Laguna Hills, CA 92653 | 2017-08-01 |
| 1497299945 | Stephanie Lyle | Nurse Practitioner | 24221 Calle De Louisa, Suite 400, Laguna Hills, CA 92653 | 2016-12-16 |
| 1053776278 | Meillanny Gladness | Counselor | 23151 Verdugo Dr Ste 203, Laguna Hills, CA 92653 | 2015-12-16 |
| 1912383183 | Pmdca, LLC | Clinical Medical Laboratory | 23297 S Pointe Dr Ste 100, Laguna Hills, CA 92653 | 2015-08-10 |
| 1821486630 | 4mpw, Inc. | Home Health | 23232 Peralta Drive 216, Laguan Hills, CA 92653 | 2014-12-31 |
| Find all providers in zip 92653 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285806091 | Jason A Liauw | Neurological Surgery | 23961 Calle De La Magdalena Ste 405, Laguna Hills, CA 92653-3683 | 2008-04-01 |
| 1982600938 | Robert Frank Wayner | Neurological Surgery | 23961 Calle De La Magdalena, Ste 300, Laguna Hills, CA 92653-3665 | 2005-06-23 |
| 1134667322 | Beel Medical, Inc | Neurological Surgery | 23961 Calle De La Magdalena Ste 405, Laguna Hills, CA 92653-3683 | 2017-02-07 |
| 1487001178 | Said Elshihabi Md Apc | Neurological Surgery | 23961 Calle De La Magdalena, Suite 504, Laguna Hills, CA 92653-3616 | 2016-05-23 |
| 1356761126 | Neurodpm, Inc. | Neurological Surgery | 23961 Calle De La Magdalena, Suite 504, Laguna Hills, CA 92653-3616 | 2014-04-21 |
| 1750312047 | Farzad Massoudi M.d. Inc. | Neurological Surgery | 23961 Calle De La Magdalena, 504, Laguna Hills, CA 92653-3616 | 2006-07-05 |
| 1669459194 | Robert F Wayner Md Inc | Neurological Surgery | 23961 Calle De La Magdalena, Suite 300, Laguna Hills, CA 92653 | 2005-12-27 |
| 1023003605 | Robert J Jackson | Neurological Surgery | 23961 Calle De La Magdalena, 504, Laguna Hills, CA 92653-3616 | 2005-09-20 |
| 1437144599 | Farzad Massoudi | Neurological Surgery | 23961 Calle De La Magdalena, 504, Laguna Hills, CA 92653-3616 | 2005-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376144477 | Faculty Physicians and Surgeons of Llusm | Neurological Surgery | 35400 Bob Hope Dr Ste 110, Rancho Mirage, CA 92270-1772 | 2020-11-04 |
| 1013524123 | Hubert Tsun-yin Lee | Neurological Surgery | 1201 Welch Road, Stanford, CA 94305-5327 | 2020-09-24 |
| 1811500267 | Chaparral Medical Group, Inc. | Neurological Surgery | 9120 Haven Ave Ste 201, Rancho Cucamonga, CA 91730-5413 | 2020-08-26 |
| 1982259461 | Mauricio Mandel Brigido | Neurological Surgery | 300 Pasteur Dr # R281, Stanford, CA 94305-2200 | 2019-08-01 |
| 1538713227 | Sylvain Palmer Md Inc | Neurological Surgery | 26732 Crown Valley Pkwy Ste 541, Mission Viejo, CA 92691-6376 | 2019-07-31 |
| 1851945877 | X.sean Xin, Do Inc. | Neurological Surgery | 7230 Med Ctr Dr Ste 600, West Hills, CA 91307-4017 | 2019-07-29 |
| 1154974525 | Jan M. Eckermann, Md Inc. | Neurological Surgery | 1617 W Cliff Dr, Ste 203, Newport Beach, CA 92660 | 2019-07-24 |
| 1598317711 | Newport Beach Neurosurgical Institute | Neurological Surgery | 1501 Superior Ave Ste 214b, Newport Beach, CA 92663-3600 | 2019-07-09 |
| 1609438761 | Py26 Neurosurgery, PC | Neurological Surgery | 120 S Spalding Dr Ste 305, Beverly Hills, CA 90212-1800 | 2019-06-28 |
| 1679133664 | Sequoia Neurosurgery, Inc. | Neurological Surgery | 306 N Conyer St Ste A, Visalia, CA 93291-4704 | 2019-06-20 |
| Find all providers with the same taxonomy | ||||
| City | LAGUNA HILLS |
| Zip Code | 92653 |
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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.