DR. KEITH WAYNE JACKSON (NPI# 1548399538) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548399538 |
| Entity Type | Individual |
| Full Name | DR. KEITH WAYNE JACKSON |
| Credential | M.D. |
| Practice Address |
235 N Hoover St Los Angeles CA 90004-3627 |
| Mailing Address |
25108 Marguerite Pkwy Suite A 203 Mission Viejo CA 92692-2400 |
| Practice Telephone | 9497075339 |
| Mailing Telephone | 9497075339 |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | G46539 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G465391 | 05 |
| 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 |
| 1326527045 | Keith Allen Jackson | Physician Assistant | 3000 Q St Fl 4, Sacramento, CA 95816-7058 | 2018-08-13 |
| 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 |
| Street Address |
235 N HOOVER ST |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90004-3627 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639166200 | Temple Hospital A Corp | General Acute Care Hospital | 235 N Hoover St, Los Angeles, CA 90004-3627 | 2005-09-29 |
| 1013353903 | Paz M. Lorenzo | Nurse Practitioner | 235 N Hoover St, Los Angeles, CA 90004-3627 | 2013-05-17 |
| 1063856110 | Patrick L Mullens M D Inc | Pathology | 235 N Hoover St, Los Angeles, CA 90004-3627 | 2013-04-19 |
| 1720214703 | Steven K Hwang Md Inc | Specialist | 235 N Hoover St, Los Angeles, CA 90004-3627 | 2009-06-04 |
| 1922248475 | Heritage Orthopedic & Industrial Medicine Mutlti-specialty Group, Inc. | Chiropractor | 235 N Hoover St, Los Angeles, CA 90004-3627 | 2009-02-24 |
| 1740486273 | Temple Community Hospital | Pharmacist | 235 N Hoover St, Los Angeles, CA 90004-3627 | 2007-06-22 |
| 1285704254 | J. Chanbonpin, M.d., Inc | Specialist | 235 N Hoover St, Los Angeles, CA 90004-3627 | 2006-11-08 |
| 1487743597 | Sean Shahriar Shahangian | Anesthesiology | 235 N Hoover St, Los Angeles, CA 90004-3627 | 2006-10-12 |
| 1821184441 | Temple Hospital A Corp | Skilled Nursing Facility | 235 N Hoover St, Los Angeles, CA 90004-3627 | 2006-10-04 |
| 1538172101 | Margaret Daly-murphy | Anesthesiology | 235 N Hoover St, Los Angeles, CA 90004-3627 | 2006-08-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225504160 | Jessica M. Louie | Pharmacist | 590 North Vermont Avenue, Suite 334, Los Angeles, CA 90004 | 2018-10-18 |
| 1033615828 | Javier G Ibarra | Counselor | 3910 Oakwood Ave., Los Angeles, CA 90004 | 2018-04-02 |
| 1558804351 | Bhc Alhamba Hospital | Psychiatric Residential Treatment Facility | 115 N. Mccadden Place, Los Angeles, CA 90004 | 2016-11-28 |
| 1275907719 | Rozalin Banafsheian | Psychologist | 522 N. Larchmont, Los Angeles, CA 90004 | 2015-11-20 |
| 1104214196 | Estrellita Rubio Reyes | Pediatrics | 3908 Beverly Blvd., Los Angeles, CA 90004 | 2014-12-30 |
| 1760888226 | Hardy Ophuls | Marriage & Family Therapist | 439 N. Larchmont Bl., Los Angeles, CA 90004 | 2014-11-11 |
| 1528462991 | Latrice Nicole Hardison | Licensed Vocational Nurse | 225 N. Mariposa Ave, Los Angeles, CA 90004 | 2014-10-14 |
| 1215331947 | Shonn Bunn | Rehabilitation Practitioner | 433 N. Hoover, Los Angeles, CA 90004 | 2014-10-09 |
| 1609296581 | Michael Armen Kezian | Dentist | 581 N Larchmont Blvd, Los Angeles, CA 90004 | 2014-04-18 |
| 1427485549 | Kir Medical Group | Family Medicine | 123 177th Street, Los Angeles, CA 90004 | 2013-10-03 |
| Find all providers in zip 90004 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043826720 | Cedars-sinai Medical Care Foundation | Anesthesiology | 8700 Beverly Blvd Ste Sb-290, Los Angeles, CA 90048-1804 | 2020-09-18 |
| 1083258362 | Farnad Medical Corporation | Anesthesiology | 5757 Wilshire Blvd Ste Pr2, Los Angeles, CA 90036-3689 | 2019-10-30 |
| 1295202638 | Caleb Rogers Penn | Anesthesiology | Cedars-sinai Department of Anesthesiology, 8700 Beverly Blvd, Los Angeles, CA 90048 | 2018-10-24 |
| 1023593977 | Alen Ternian Md A Medical Corporation | Anesthesiology | 8436 W 3rd St Ste 603, Los Angeles, CA 90048-4163 | 2018-09-26 |
| 1467945758 | Braid Medical Corporation | Anesthesiology | 2080 Century Park E Ste 1111, Los Angeles, CA 90067 | 2018-06-11 |
| 1013423631 | Abdul Ali Qaderi | Anesthesiology | 8700 Beverly Blvd Suite 4209, Los Angeles, CA 90048 | 2017-12-19 |
| 1750894796 | Grand Anesthesia and Nursing Services Inc | Anesthesiology | 648 N St Andrews Pl, Los Angeles, CA 90004-1704 | 2017-11-13 |
| 1942741186 | Kevin Yan | Anesthesiology | 1450 San Pablo St Suite 3600 (hc4), Los Angeles, CA 90089-5453 | 2017-03-20 |
| 1841731924 | Mark Davis | Anesthesiology | 8237 Blackburn Ave Apt 103, Los Angeles, CA 90048-4277 | 2017-03-09 |
| 1629428545 | Marie G Kuffner | Anesthesiology | 10866 Leconte Ave, Los Angeles, CA 90095-0001 | 2016-06-21 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90004 |
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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.