ERIC JACKSON-SCOTT MD INC (NPI# 1538439302) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538439302 |
| Entity Type | Organization |
| Organization Name | ERIC JACKSON-SCOTT MD INC |
| Other Organization Name | EJS MEDICAL GROUP |
| Practice Address |
455 N Prairie Ave Inglewood CA 90301-1413 |
| Mailing Address |
2355 Westwood Blvd Ste 609 Los Angeles CA 90064-2109 |
| Practice Telephone | 3104120183 |
| Mailing Telephone | 3109480485 |
| Enumeration Date | 2012-01-10 |
| Last Update Date | 2012-01-10 |
| Authorized Official Name | DR. ERIC JACKSON-SCOTT (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 3109480485 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | A115195 | CA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| EJS Medical Group | Doing Business As Name - Organization |
| Street Address |
455 N PRAIRIE AVE |
| City | INGLEWOOD |
| State | CA |
| Zip Code | 90301-1413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083918148 | Releford Foot and Ankle Institute | Podiatrist | 455 N Prairie Ave, Inglewood, CA 90301-1413 | 2011-01-04 |
| 1396166567 | Plasmagenix Medical Corp | Clinic/Center | 455 N Prairie Ave, Inglewood, CA 90301-1413 | 2013-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548897945 | Genevieve V. Angel | Registered Nurse | 555 East Hardy Street, Director of Cm Sw, Centinela Hospital Medical Center, Inglewood, CA 90301 | 2020-03-25 |
| 1992338552 | Ralph Kevin Roque | Licensed Practical Nurse | 614 W Manchester Blvd, Inglewood, Ca 90301, 104, Inglewood, CA 90301 | 2020-02-21 |
| 1043841562 | Evelyn Jones | Social Worker | 555 E. Hardy Street, Inglewood, Ca, CA 90301 | 2020-02-03 |
| 1447896444 | Coral Dabarera Edelson | Dietitian, Registered | 110 North La Brea Ave, Inglewood, CA 90301 | 2019-11-25 |
| 1821642125 | Jennifer Robert Umoh | Student in an Organized Health Care Education/Training Program | 412 E Florence Avenue, Inglewood, CA 90301 | 2019-07-25 |
| 1821567751 | Esther Voltaire | Behavior Technician | 619 E Arbor Vitae St, Inglewood, CA 90301 | 2018-11-21 |
| 1902372832 | Pool Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 323 North Prairie Ave, Suite 200, Ingelwood, CA 90301 | 2018-10-18 |
| 1174003594 | Xelnt Healthcare Inc. | Clinic/Center | 501 E Hardy St Ste 425, Inglewood, CA 90301 | 2018-08-15 |
| 1710409321 | Rae Shelston Mcintosh | Licensed Vocational Nurse | 1007 Myrth Ave, Inglewood, CA 90301 | 2017-07-14 |
| 1477093789 | Lewis E Logan II | Counselor | 332 N. Prairie Ave., Suite 417, Inglewood, CA 90301 | 2017-03-06 |
| Find all providers in zip 90301 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669574802 | Horace Milano Mellon | General Practice | 915 Myrtle Ave, Inglewood, CA 90301-4007 | 2006-09-01 |
| 1699790667 | Jorge Luis Moran | General Practice | 210 S Locust St, Inglewood, CA 90301-2304 | 2006-07-12 |
| 1215189071 | Clyde T. Arnold Md A Professional Corporation | General Practice | 8473 S Van Ness Ave, Suite 102, Inglewood, CA 90305-1550 | 2008-10-10 |
| 1679783559 | Adel Bashir Awad | General Practice | 1091 S La Brea Ave, Inglewood, CA 90301-3817 | 2007-05-22 |
| 1205045598 | Arnold Ellis | General Practice | 2710 W Manchester Blvd, Inglewood, CA 90305-2436 | 2007-05-22 |
| 1528270147 | Century Medical Center,a Professional Corporation | General Practice | 3451 W Century Blvd, Suite B-1, Inglewood, CA 90303-1218 | 2007-05-04 |
| 1902936099 | Centinela Medical Group | General Practice | 933 Centinela Ave, B, Inglewood, CA 90302-1501 | 2007-03-07 |
| 1952430209 | John William Mcneil Sr. | General Practice | 323 N Prairie Ave, Suite 425, Inglewood, CA 90301-4502 | 2007-03-04 |
| 1487795753 | Jorge L Moran Md Inc | General Practice | 210 S Locust St, Inglewood, CA 90301-2304 | 2007-02-09 |
| 1588718811 | Stanislaus Kinota | General Practice | 4450 W Century Blvd, Inglewood, CA 90304-1504 | 2007-01-23 |
| Find all providers in INGLEWOOD | ||||
Please comment or provide details below to improve the information on ERIC JACKSON-SCOTT MD INC.
| 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.