Bruce L Jackson (NPI# 1124072087, PAC ID# 3375642481) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1124072087 |
| PAC ID by PECOS | 3375642481 |
| Professional Enrollment ID | I20070629000402 |
| Full Name | Bruce L Jackson |
| Organization Legal Name | DESERT FAMILY PRACTICE ASSOCIATES |
| Address |
15863 Kasota Rd Apple Valley CA 92307-4507 |
| Phone Number | 7609461100 |
| Gender | M |
| Medical School | UNIVERSITY OF SOUTHERN CALIFORNIA SCHOOL OF MEDICINE |
| Graduation Year | 1994 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 7416056528 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 15863 Kasota Rd, Apple Valley, CA 92307-4507 | 7609461100 | DESERT FAMILY PRACTICE ASSOCIATES |
| 11919 Hesperia Rd A, Hesperia, CA 92345-2158 | 7609481454 | DESERT FAMILY PRACTICE ASSOCIATES |
| Organization Legal Name | DESERT FAMILY PRACTICE ASSOCIATES |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Khin M Naing | Internal Medicine | Desert Family Practice Associates | 11919 Hesperia Rd A, Hesperia, CA 92345-2158 |
| Craig R Mueller | Family Medicine | Desert Family Practice Associates | 15863 Kasota Rd, Apple Valley, CA 92307-4507 |
| Rodrick L Meraz | Physician Assistant | Desert Family Practice Associates | 15863 Kasota Rd, Apple Valley, CA 92307-4507 |
| Joseph L Tate | Physician Assistant | Desert Family Practice Associates | 15863 Kasota Rd, Apple Valley, CA 92307-4507 |
| Street Address |
15863 KASOTA RD |
| City | APPLE VALLEY |
| State | CA |
| Zip | 92307-4507 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Craig R Mueller | Family Medicine | Desert Family Practice Associates | 15863 Kasota Rd, Apple Valley, CA 92307-4507 |
| Rodrick L Meraz | Physician Assistant | Desert Family Practice Associates | 15863 Kasota Rd, Apple Valley, CA 92307-4507 |
| Joseph L Tate | Physician Assistant | Desert Family Practice Associates | 15863 Kasota Rd, Apple Valley, CA 92307-4507 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hala M Abdelaziz | Pathology | Melinda D. Labuguen Md, Inc. | 18300 Hwy 18, Apple Valley, CA 92307 |
| David Tran | Internal Medicine | Meridian Urgent Care and Occupational Health Center A Professional Cor | 18522 Hwy 18 102, Apple Valley, CA 92307 |
| Purnima Thakran | Neurology | 18387 Hwy 18 1, Apple Valley, CA 92307 | |
| James C Krider | Family Medicine | 18182 Hwy 18, Suite 105, Apple Valley, CA 92307 | |
| Rajan H Karnani | Neurology | 18419 Hwy 18 1, Apple Valley, CA 92307 | |
| Anurag Sahai | Internal Medicine | 18095 Hwy 18 B, Apple Valley, CA 92307 | |
| Regina I Deluna | Pathology | Melinda D. Labuguen Md, Inc. | 18300 Hwy 18, Apple Valley, CA 92307 |
| Melinda D Labuguen | Hematology | Melinda D. Labuguen Md, Inc. | 18300 Hwy 18, Apple Valley, CA 92307 |
| Caroline G Yap | Pathology | Melinda D. Labuguen Md, Inc. | 18300 Hwy 18, Apple Valley, CA 92307 |
| Matthew D Leary | Chiropractic | 16049 Tuscola Rd, Suite B, Apple Valley, CA 92307-0824 | |
| Find all physicians in zip 92307 | |||
| City | APPLE VALLEY |
| Zip Code | 92307 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | APPLE VALLEY + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Bruce L Jackson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.