DR. JAMES M JACKSON (NPI# 1619060134) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619060134 |
| Entity Type | Individual |
| Full Name | DR. JAMES M JACKSON |
| Credential | M.D |
| Practice Address |
3771 Katella Ave Suite 310 Los Alamitos CA 90720 |
| Mailing Address |
1040 Elm Ave Suite #100 Long Beach CA 90813-3265 |
| Practice Telephone | 5624303561 |
| Practice Fax Number | 5624318882 |
| Mailing Telephone | 5625914444 |
| Mailing Fax Number | 5624367350 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | G74843 | CA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G748430 | 05 | |
| CA | LICENSE | G74843 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699373456 | James Andy Jackson | Counselor | 14239 Charles Pollock Ave, El Paso, TX 79938-3197 | 2020-10-14 |
| 1770905200 | James Jackson | Legal Medicine | 1404 Chandler Rd Se, Huntsville, AL 35801-1406 | 2014-01-17 |
| 1811282247 | James Allen Jackson | Social Worker | 5209 Point Fosdick Dr Nw Ste 205, Gig Harbor, WA 98335 | 2011-06-14 |
| 1154656460 | James Bruce Jackson | Surgery | 2004 Lexington Ave, Mansfield, OH 44907-3024 | 2009-10-05 |
| 1710118625 | James W Jackson | Behavioral Analyst | 1111 N Cedar Rd, New Lenox, IL 60451-1419 | 2009-07-27 |
| 1386843050 | James Andrew Jackson | Dentist | 228 Main St., Nettleton, MS 38858 | 2007-07-13 |
| 1861610727 | James Kenneth Jackson | Family Medicine | 1590 E 13th St., University Health Center, Eugene, OR 97403 | 2007-04-23 |
| 1518003078 | James Edward Jackson | Social Worker | 736 Se 18th Ave, Ocala, FL 34471-4114 | 2007-01-30 |
| 1871648253 | James Richard Jackson | Physician Assistant | 3403 S Padre Island Dr Ste 301, Corpus Christi, TX 78415-2925 | 2007-01-24 |
| 1891848529 | James Fred Jackson | Dentist | 1193 Pineview Dr, Morgantown, WV 26505-2700 | 2007-01-18 |
| Street Address |
3771 KATELLA AVE SUITE 310 |
| City | LOS ALAMITOS |
| State | CA |
| Zip Code | 90720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154313740 | Marcy Lynn Zwelling | Internal Medicine | 3771 Katella Ave, Suite #108, Los Alamitos, CA 90720-3108 | 2005-08-19 |
| 1285076265 | Cprx, Incorporated | Physical Therapist | 3771 Katella Ave, Suite 111, Los Alamitos, CA 90720-3108 | 2013-07-19 |
| 1336408657 | Arnold Ostrow Md Inc. | Internal Medicine | 3771 Katella Ave, 300, Los Alamitos, CA 90720-3108 | 2012-05-07 |
| 1174890594 | Gary M Nemhauser Md Inc A Professional Corporation | Specialist | 3771 Katella Ave, Suite #108, Los Alamitos, CA 90720-3108 | 2011-11-30 |
| 1639487697 | Cecilia Chu, M.d., Inc. | Specialist | 3771 Katella Ave, Suite 205, Los Alamitos, CA 90720-3108 | 2010-09-23 |
| 1033443148 | Hawaiian Gardens Obgyn Medical Grp | Clinic/Center | 3771 Katella Ave, Suite 219, Los Alamitos, CA 90720-3108 | 2009-09-22 |
| 1073700159 | Charles M Maples | Family Medicine | 3771 Katella Ave, Suite 110, Los Alamitos, CA 90720-3108 | 2007-10-02 |
| 1821281353 | Alamitos Podiatry Group | Podiatrist | 3771 Katella Ave, Suite 200, Los Alamitos, CA 90720-3108 | 2007-08-17 |
| 1275723629 | Green, Stuart & Marinow, Harry & Bonfilio, Nicholas & Feiwell, Lawrenc | Orthopaedic Surgery | 3771 Katella Ave, Suite 310, Los Alamitos, CA 90720-3115 | 2007-07-31 |
| 1588861488 | Christopher Jon Woodson | Orthopaedic Surgery | 3771 Katella Ave, Suite 209, Los Alamitos, CA 90720-3108 | 2007-07-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871152132 | Connie Lee Wax | Social Worker | 5182 Katella, Suite 206, Los Alamitos, CA 90720 | 2019-06-11 |
| 1750891446 | Angela Lynn Hudson | Nurse Practitioner | 4281 Katella Ave Ste 215, Los Alamitos, CA 90720 | 2017-10-06 |
| 1922524149 | Tigom LLC | Pharmacy | 4434 Cerritos Ave, Los Alamitos, CA 90720 | 2017-08-18 |
| 1821531401 | Added Access Cardiology Inc | Internal Medicine | 3801 Katella Ave Suite 401, Los Alamitos, CA 90720 | 2016-11-30 |
| 1619348091 | Debbie Chen | Marriage & Family Therapist | 5182 Katella Ave Ste 202, Los Alamitos, CA 90720 | 2015-10-12 |
| 1801292974 | Michelle R. Ancharoff | Psychologist | 4281 Katella Ave #122, Los Alamitos, CA 90720 | 2014-11-17 |
| 1497179253 | Jeffrey J Mccullough | Dentist | 4281 Katella Ave Ste 112, Los Alamitos, CA 90720 | 2014-02-13 |
| 1043634124 | Alamitos Oral Surgery | Dentist | 4582 Katella Avenue, Los Alamitos, CA 90720 | 2014-02-11 |
| 1972939718 | Twin Town Corporation | Clinic/Center | 4376 Katella Ave., Los Alamitos, CA 90720 | 2013-09-25 |
| 1952644197 | Lindsay Enebak Mossinger | Internal Medicine | 3851 Katella Ave Ste 220, Los Alamitos, CA 90720 | 2013-04-05 |
| Find all providers in zip 90720 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891112959 | Johneen Hardwick | Specialist | 3831 Catalina St Ste B, Los Alamitos, CA 90720-5438 | 2014-03-26 |
| 1447599287 | Gonzalo Ko Lo | Specialist | 12512 Christy Ln, Los Alamitos, CA 90720-4711 | 2013-02-13 |
| 1801155759 | Arthur Gene Litman | Specialist | 3232 Brimhall Dr, Los Alamitos, CA 90720-4826 | 2012-05-13 |
| 1205913811 | Haniffa M Maznavi | Specialist | 3791 Katella Ave Ste 101, Los Alamitos, CA 90720-2000 | 2006-11-01 |
| 1235222860 | Sidney B Newman | Specialist | 3801 Katella Ave., Suite 101, Los Alamitos, CA 90720 | 2006-10-02 |
| 1629085766 | Los Alamitos Openscan Mri | Specialist | 4281 Katella Ave Ste 103, Los Alamitos, CA 90720-3585 | 2006-08-02 |
| 1093778649 | Ghulam Y Dostzada | Specialist | 5300 Katella Ave, Los Alamitos, CA 90720-2808 | 2006-04-06 |
| 1780687319 | Robert Glenn Pugach | Specialist | 3801 Katella Ave, Ste 110, Los Alamitos, CA 90720-3371 | 2005-05-27 |
| 1336672054 | Hps Socal, LLC | Specialist | 10921 Cherry St, Suite 100, Los Alamitos, CA 90720-2473 | 2017-04-10 |
| 1174890594 | Gary M Nemhauser Md Inc A Professional Corporation | Specialist | 3771 Katella Ave, Suite #108, Los Alamitos, CA 90720-3108 | 2011-11-30 |
| Find all providers in LOS ALAMITOS | ||||
| City | LOS ALAMITOS |
| Zip Code | 90720 |
Please comment or provide details below to improve the information on DR. JAMES M JACKSON.
| 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.