MELISSA JACKSON (NPI# 1891235933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891235933 |
| Entity Type | Individual |
| Full Name | MELISSA JACKSON |
| Practice Address |
202 W Manchester Ave Playa Del Rey CA 90293-7710 |
| Mailing Address |
Po Box 5214 Playa Del Rey CA 90296-5214 |
| Practice Telephone | 3173455802 |
| Practice Fax Number | 4242284143 |
| Mailing Telephone | 3173455802 |
| Mailing Fax Number | 4242284143 |
| Enumeration Date | 2017-03-07 |
| Last Update Date | 2020-10-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 106H00000X | Marriage & Family Therapist | 122531 | CA | Behavioral Health & Social Service Providers |
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093298655 | Melissa Marie Jackson | Registered Nurse | 456 W 68th St, Kansas City, MO 64113-1919 | 2018-09-10 |
| 1881086577 | Melissa Jackson | Dentist | 2539 S Columbia Pl, Tulsa, OK 74114-3232 | 2015-03-04 |
| 1346645231 | Melissa Rene Jackson | Advanced Practice Midwife | 2744 Ewing Ave S, Minneapolis, MN 55416-4213 | 2014-11-04 |
| 1992048482 | Melissa Michelle Jackson | Speech-Language Pathologist | 707 Marie Ave, Ruston, LA 71270-2715 | 2013-04-03 |
| 1033471065 | Melissa Anne Jackson | Specialist | 3133 Broadway Apt 1, New York, NY 10027-4617 | 2012-06-14 |
| 1538439112 | Melissa Jackson | Spec/Tech, Pathology | 1820 California St Nw, 41, Washington, DC 20009-1824 | 2012-01-12 |
| 1609145184 | Melissa Rena Jackson | Counselor | 11541 Village Ave, Midwest City, OK 73130-8207 | 2011-12-29 |
| 1497064695 | Melissa Lousie Jackson | Neuromusculoskeletal Medicine, Sports Medicine | 4 Victory Ln, Scarborough, ME 04074-8486 | 2010-10-05 |
| 1528224219 | Melissa Jackson | Psychiatry & Neurology | 3250 Ne 1st Ave, Suite 317, Miami, FL 33137-4191 | 2008-08-01 |
| 1063681526 | Melissa Odette Vega Jackson | Occupational Therapist | 3773 Seven Seas Ave, Land O Lakes, FL 34638-2905 | 2008-02-28 |
| Street Address |
202 W MANCHESTER AVE |
| City | PLAYA DEL REY |
| State | CA |
| Zip Code | 90293-7710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568971869 | Broad Reach Specialty Surgery Inc | Radiology | 8117 West Manchester Ave, Ste 368, Playa Del Rey, CA 90293 | 2017-09-29 |
| 1245680271 | Ryan Cheung | Dentist | 8055 West Manchester Avenue, Suite 204, Playa Del Rey, CA 90293 | 2016-06-21 |
| 1992166912 | Laquicha Westervelt | Nurse Practitioner | 8700 Pershing Drive, 4209, Playa Del Rey, CA 90293 | 2016-03-18 |
| 1447320338 | Shahrzad Zarrinnam | Dentist | 8035 W. Manchester Ave. Ste. B, Playa Del Rey, CA 90293 | 2006-11-08 |
| 1134213770 | Pooneh Soltani | Dentist | 5901 E. 7th Street, Long Beach, CA 90293 | 2006-10-03 |
| 1447241575 | Dennis P Waldman Dds Inc | Dentist | 7740 W Manchester Ave, Suite 201, Playa Del Rey, CA 90293-6400 | 2005-10-28 |
| 1356744866 | Dennis Waldman | Dentist | 7740 W Manchester Ave, Suite 201, Playa Del Rey, CA 90293-6400 | 2014-09-29 |
| 1073637187 | Courtney Hatsuye Yoshikawa | Dentist | 7740 W Manchester Ave, Suite 108, Playa Del Rey, CA 90293-6400 | 2007-03-16 |
| 1356599534 | George P Gleckler | Marriage & Family Therapist | 8040 W Manchester Ave # A316, Playa Del Rey, CA 90293-7100 | 2008-08-30 |
| 1245437250 | David Chien | Nuclear Medicine | 8040 W Manchester Ave #311, Playa Del Rey, CA 90293-7104 | 2007-07-02 |
| Find all providers in zip 90293 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629679741 | Krista Lapidario | Student in an Organized Health Care Education/Training Program | 18602 Kings Row Ave, Cerritos, CA 90703-8048 | 2020-11-04 |
| 1548861818 | Masara Issa | Student in an Organized Health Care Education/Training Program | 2261 Runabout Pl, El Cajon, CA 92019-4250 | 2020-11-03 |
| 1245830736 | Khalid Bey | Student in an Organized Health Care Education/Training Program | 1st Dnbn Attn: Credentials 555221, Camp Pendleton, CA 92055-5221 | 2020-10-26 |
| 1538768221 | Judith Guarneros | Student in an Organized Health Care Education/Training Program | 47 Rogers Rd, Kernville, CA 93238-6021 | 2020-10-22 |
| 1174122048 | Vivian M. Arredondo | Student in an Organized Health Care Education/Training Program | 22656 Lark St, Grand Terrace, CA 92313-5714 | 2020-10-22 |
| 1861091621 | Kristen N Brauchler | Student in an Organized Health Care Education/Training Program | 2098 Cabot Ave, Merced, CA 95348-4023 | 2020-10-22 |
| 1215536206 | Marissa Burton | Student in an Organized Health Care Education/Training Program | 1759 Queenstown Dr, San Jose, CA 95132-1755 | 2020-10-21 |
| 1447859533 | Brooke Edelson | Student in an Organized Health Care Education/Training Program | 21 Waverley Ct Apt 4, Menlo Park, CA 94025-3551 | 2020-10-20 |
| 1891394987 | Shannon Shen | Student in an Organized Health Care Education/Training Program | 190 Ryland St Apt 3422, San Jose, CA 95110-2295 | 2020-10-20 |
| 1164020657 | Corinne Elizabeth Zachry | Student in an Organized Health Care Education/Training Program | 1149 S Hill St # H375, Los Angeles, CA 90015-2212 | 2020-10-15 |
| Find all providers with the same taxonomy | ||||
| City | PLAYA DEL REY |
| Zip Code | 90293 |
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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.