MR. DOUGLAS GILBERT JACKSON I (NPI# 1760412241) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760412241 |
| Entity Type | Individual |
| Full Name | MR. DOUGLAS GILBERT JACKSON I |
| Other Name | MR. DOUGLAS GILBERT JACKSON |
| Credential | NP |
| Practice Address |
14827 Foothill Rd Santa Paula CA 93060-9733 |
| Practice Telephone | 8055255233 |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
320553 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730384744 | Douglas Reed Jackson | Neuromusculoskeletal Medicine & OMM | 3211 Applewood Rd, Midland, MI 48640-2666 | 2007-06-19 |
| 1245367655 | Douglas Wayne Jackson | Dentist | 5540 S 79th E Place, Tulsa, OK 74145-7846 | 2007-02-27 |
| 1457401762 | Douglas Jackson | Dentist | 714 E. 4th Ave, Red Springs, NC 28377 | 2007-01-11 |
| 1063432342 | Douglas R Jackson | Family Medicine | 517 W Junipero St Unit 1, 334 S Patterson Ave #120, Santa Barbara, CA 93105-4239 | 2006-07-20 |
| 1962472407 | Douglas T Jackson | Anesthesiology | 150 Bargen St, F 102, Newark, NJ 07103 | 2006-01-26 |
| 1184277857 | Douglas Jackson | Nurse Practitioner | 1100 Reid Pkwy, Richmond, IN 47374-1157 | 2019-07-22 |
| 1427394147 | Douglas Ray Jackson | Pharmacist | 600 Sheldon St, Creston, IA 50801-3322 | 2012-12-27 |
| 1891071635 | Douglas Scott Jackson | Pharmacist | 116 S George St, Suite 101, York, PA 17401-1474 | 2011-10-25 |
| 1013160316 | Douglas Clarence Jackson | Specialist | 2384 Atlantic Ave, Brooklyn, NY 11233-3402 | 2008-10-30 |
| 1912076639 | Douglas L Jackson | Nurse Anesthetist, Certified Registered | 100 Peyton Way, Suite 200, Charleston, WV 25309-8572 | 2006-11-07 |
| Street Address |
14827 FOOTHILL RD |
| City | SANTA PAULA |
| State | CA |
| Zip Code | 93060-9733 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619460912 | Reward Path Recovery, LLC | Clinic/Center | 525 E. Main St, Santa Paula, CA 93060 | 2018-06-11 |
| 1427305994 | Preetinder Narang | Behavioral Analyst | 216 N 8th Street, Santa Paula, CA 93060 | 2012-08-14 |
| 1346476595 | Rosalia Lopez Castillo | Adult Companion | 227 S. Palm Ave, Santa Paula, CA 93060 | 2009-06-02 |
| 1295936870 | Renee S Lim | Dentist | 125 E Harvard Blvd, #e, Santa Paula, CA 93060 | 2007-05-30 |
| 1225240120 | Richard S. Yoon, Dmd, Inc. | Dentist | 957 Faulkner Rd #104, Santa Paula, CA 93060 | 2007-05-04 |
| 1982723755 | Elizabeth Humphrey | Counselor | 951 East Main St., Santa Paula, CA 93060 | 2007-03-29 |
| 1639298979 | Shelly Brizuela | Marriage & Family Therapist | 951 East Main St, Santa Paula, CA 93060 | 2007-03-28 |
| 1629101472 | Norma J Emery | Registered Nurse | 1360 Say Rd, Santa Paula, CA 93060 | 2007-03-13 |
| 1518021575 | Mark N Sussman | Anesthesiology | 825 North 10th Street, Santa Paula, CA 93060 | 2006-12-21 |
| 1831251735 | Jon L. Schrock | Family Medicine | 845 N.10th St. Ste 1, Santa Paula, CA 93060 | 2006-12-15 |
| Find all providers in zip 93060 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649517103 | Keith Saucerman | Nurse Practitioner | 600 Todd Rd, Santa Paula, CA 93060-9725 | 2013-01-03 |
| 1407487192 | Nicole Schumacher | Nurse Practitioner | 242 E Harvard Blvd, Santa Paula, CA 93060-3372 | 2020-01-31 |
| 1790322618 | Jennifer Ashley Garcia | Nurse Practitioner | 1334 E Main St, Santa Paula, CA 93060-2926 | 2019-12-10 |
| 1902369333 | Adelina Lopez | Nurse Practitioner | 254 W Harvard Blvd Ste B, Santa Paula, CA 93060-3920 | 2019-04-11 |
| 1972002228 | Trish Balolong Reyes | Nurse Practitioner | 500 E Main St, Santa Paula, CA 93060-2607 | 2018-02-01 |
| 1588057178 | Dana Michelle Chavolla | Nurse Practitioner | 845 N 10th St Ste 3, Santa Paula, CA 93060-1348 | 2015-03-06 |
| 1417365909 | Josefina Garcia Arrigoni | Nurse Practitioner | 845 N 10th St Ste 3, Santa Paula, CA 93060-1348 | 2014-07-28 |
| 1447278601 | Toni Danette Dela Merot | Nurse Practitioner | 242 E Harvard Blvd, Suite C, Santa Paula, CA 93060-3372 | 2006-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962003640 | Samira Kadri | Nurse Practitioner | 431 S Burnside Ave Apt 3g, Los Angeles, CA 90036-5343 | 2020-11-08 |
| 1801497706 | Ana Maria Cajigas De Jesus | Nurse Practitioner | 313 S Velva Pl, Anaheim, CA 92804-2647 | 2020-11-06 |
| 1609477421 | Taylor Mcknight | Nurse Practitioner | 5073 Oxford Dr, Cypress, CA 90630-3653 | 2020-11-06 |
| 1619578465 | Roslyn Dykes-barrow | Nurse Practitioner | 17631 Mulberry Dr, Carson, CA 90746-7403 | 2020-11-06 |
| 1861093601 | Philana P Mcdonald | Nurse Practitioner | 183 Stonebridge Ln, Paso Robles, CA 93446-1926 | 2020-11-06 |
| 1386245264 | Annie Parikh | Nurse Practitioner | 11675 Lambert Ave, El Monte, CA 91732-1955 | 2020-11-05 |
| 1073114096 | Blanca De Jesus Serrano | Nurse Practitioner | 18144 Outer Hwy 18 Ste 200, Apple Valley, CA 92307-2212 | 2020-11-05 |
| 1578164166 | Aimon Sangwanpanich | Nurse Practitioner | 8520 Shirley Ave, Northridge, CA 91324-4149 | 2020-11-02 |
| 1043810757 | Casie Lee Mcguire | Nurse Practitioner | 1826 Rainbow Terrace Ln, Montebello, CA 90640-1953 | 2020-10-30 |
| 1295335099 | Jail Lopez | Nurse Practitioner | 3171 Lynwood Rd, Lynwood, CA 90262-4118 | 2020-10-29 |
| Find all providers with the same taxonomy | ||||
| City | SANTA PAULA |
| Zip Code | 93060 |
Please comment or provide details below to improve the information on MR. DOUGLAS GILBERT JACKSON I.
| 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.