PAUL JACKSON (NPI# 1770651291) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770651291 |
| Entity Type | Individual |
| Full Name | PAUL JACKSON |
| Credential | MD |
| Practice Address |
795 El Camino Real Palo Alto CA 94301-2302 |
| Mailing Address |
325 Distel Cir Los Altos CA 94022-1408 |
| Practice Telephone | 6503214121 |
| Practice Fax Number | 6508534765 |
| Mailing Telephone | 6508532919 |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2020-07-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | G85830 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477112522 | Paul A Jackson | Psychologist | 459 W Macarthur Blvd, Oakland, CA 94609-2808 | 2019-06-12 |
| 1114422599 | Paul Jackson | Student in an Organized Health Care Education/Training Program | 600 Elizabeth St, Gme, Corpus Christi, TX 78404 | 2018-03-27 |
| 1639435019 | Paul Jackson | Adult Companion | 2229 Pueblo Dr, Garland, TX 75040-4328 | 2012-04-10 |
| 1609005172 | Paul A Jackson Jr. | Counselor | 5117 Andrea Blvd, Suite 86, Sacramento, CA 95842-2518 | 2009-07-06 |
| 1467688564 | Paul S. Jackson | Student in an Organized Health Care Education/Training Program | 26 South 200 East, Suite 5900, Salt Lake City, UT 84112 | 2009-06-03 |
| 1043462815 | Paul Jackson | Driver | 34401 Calgary Ter, Fremont, CA 94555-2916 | 2008-10-10 |
| 1154435899 | Paul Thomas Jackson Jr. | Internal Medicine | 4550 Lamar Ave, Suite 200, Paris, TX 75462-5124 | 2006-08-19 |
| 1053322974 | Paul D Jackson | Obstetrics & Gynecology | 508 Arnold Ave, Greenville, MS 38701-5319 | 2006-08-10 |
| 1053330704 | Paul Maurice Jackson | Internal Medicine | 20271 Merrick Dr, Saratoga, CA 95070-4960 | 2006-07-19 |
| 1598706855 | Paul Brian Jackson | Optometrist | 6825 Parker Farm Dr, Wilmington, NC 28405-3168 | 2006-06-09 |
| Street Address |
795 EL CAMINO REAL |
| City | PALO ALTO |
| State | CA |
| Zip Code | 94301-2302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346248085 | Wendy Levine | Occupational Therapist | 795 El Camino Real, Palo Alto, CA 94301-2302 | 2005-07-07 |
| 1932706637 | Ashley Powell | Occupational Therapist | 795 El Camino Real, Palo Alto, CA 94301-2302 | 2020-10-06 |
| 1568069268 | Madeline Manion | Physical Therapist | 795 El Camino Real, Palo Alto, CA 94301-2302 | 2020-10-06 |
| 1245847565 | Sandrine Nicolet | Physical Therapist | 795 El Camino Real, Palo Alto, CA 94301-2302 | 2020-09-30 |
| 1164058731 | Shannon Tram Anh Trinh | Pharmacist | 795 El Camino Real, Palo Alto, CA 94301-2302 | 2020-03-16 |
| 1205460243 | Caitlin Schubmehl | Nurse Practitioner | 795 El Camino Real, Palo Alto, CA 94301-2302 | 2020-02-28 |
| 1518502350 | Odiri Maku | Nurse Practitioner | 795 El Camino Real, Palo Alto, CA 94301-2302 | 2019-11-15 |
| 1841847167 | Rachel Zatkin Kizuka | Registered Nurse | 795 El Camino Real, Palo Alto, CA 94301-2302 | 2019-08-21 |
| 1497300974 | Christopher Duane Asplund | Physical Therapist | 795 El Camino Real, Palo Alto, CA 94301-2302 | 2019-08-02 |
| 1033673991 | Jingyun Yao | Speech-Language Pathologist | 795 El Camino Real, Palo Alto, CA 94301 | 2019-01-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184256430 | Stephen H Smith | Marriage & Family Therapist | 636 Middlefield Road, Palo Alto, CA 94301 | 2020-02-05 |
| 1992367072 | Thomas Mccavitt | Interpreter | Feinberg Medical Clinic, 825 El Camino Real, Palo Alto, CA 94301 | 2019-06-28 |
| 1598321861 | Priyanka Kim Wali, M.d., P.C. | Psychiatry & Neurology | 470 Ramona Street, Palo Alto, CA 94301 | 2019-05-13 |
| 1942716196 | Nancy L Wong | Dermatology | 970 Palo Alto Ave, Palo Alto, CA 94301 | 2017-12-26 |
| 1245751221 | Kurbo Health | Health Educator | 640 Waverley St, Palo Alto, CA 94301 | 2017-06-29 |
| 1023559085 | Michelle Di Montagna | Acupuncturist | 200 California Avenue, Suite 100, Palo Alto, CA 94301 | 2017-03-10 |
| 1265978175 | April Rowe Holman | Psychologist | 667 Lytton Ave. Ste. 5, Palo Alto, CA 94301 | 2017-01-17 |
| 1174975056 | Jeanmarie Barry Cahill | Marriage & Family Therapist | 555 Middle Field Road, Suite 103 B, Palo Alto, CA 94301 | 2016-07-05 |
| 1700247897 | Marie A. Di Pasquale | Allergy & Immunology | 705 Lincoln Avenue, Palo Alto, CA 94301 | 2016-03-16 |
| 1750780128 | Ronces Reyes-pugay | Nurse Practitioner | 795 Elcamino Real, Level 3 Lee Building, Palo Alto, CA 94301 | 2014-08-21 |
| Find all providers in zip 94301 | ||||
| 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 |
|---|---|---|---|---|
| 1841638293 | Amit Bhasker Ayer | Neurological Surgery | 213 Quarry Rd Fl 2, Palo Alto, CA 94304-1416 | 2013-06-07 |
| 1063690808 | Tim E. Darsaut | Neurological Surgery | 1237 Clark Way, Palo Alto, CA 94304-2333 | 2008-02-04 |
| 1407059181 | Juan Carlos Fernandez-miranda | Neurological Surgery | 213 Quarry Rd Rm 2851, Palo Alto, CA 94304-1416 | 2007-06-08 |
| 1386279818 | Syed Uzair Ahmed | Neurological Surgery | 213 Quarry Rd, Palo Alto, CA 94304-1416 | 2020-03-04 |
| 1306347679 | Mark Bigder | Neurological Surgery | 213 Quarry Road, Stanford Neuroscience Health Center, Palo Alto, CA 94304-5979 | 2018-02-22 |
| 1538535612 | Maleeha Ahmad | Neurological Surgery | 213 Quarry Rd, Palo Alto, CA 94304-1416 | 2015-08-12 |
| 1184068835 | Derek William Yecies | Neurological Surgery | 725 Welch Rd, Palo Alto, CA 94304-1601 | 2013-04-24 |
| 1083974422 | Linden Elizabeth Fornoff | Neurological Surgery | 730 Welch Rd, Palo Alto, CA 94304 | 2012-05-19 |
| 1831455781 | Laura M Prolo | Neurological Surgery | 725 Welch Rd, Palo Alto, CA 94304-1601 | 2012-04-04 |
| 1003199589 | Abdulrazag M Ajlan | Neurological Surgery | 300 Pasteur Dr, Boswell Building, A301, Palo Alto, CA 94305-5327 | 2011-09-21 |
| Find all providers in PALO ALTO | ||||
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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.