Thomas E Jackson (NPI# 1790979292, PAC ID# 3678669520) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1790979292 |
| PAC ID by PECOS | 3678669520 |
| Professional Enrollment ID | I20071023000646 |
| Full Name | Thomas E Jackson |
| Organization Legal Name | SOUTH PACIFIC REHABILITATION SERVICES, INC |
| Address |
830 S Citrus Ave Azusa CA 91702-5911 |
| Phone Number | 6263396514 |
| Gender | M |
| Graduation Year | 1979 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 1254221526 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 830 S Citrus Ave, Azusa, CA 91702-5911 | 6263396514 | SOUTH PACIFIC REHABILITATION SERVICES, INC |
| 830 S Citrus Ave, Suite 203, Azusa, CA 91702-5911 | 6263396514 | SOUTH PACIFIC REHABILITATION SERVICES, INC |
| Organization Legal Name | SOUTH PACIFIC REHABILITATION SERVICES, INC |
| Physicians | 1 |
| Street Address |
830 S CITRUS AVE |
| City | AZUSA |
| State | CA |
| Zip | 91702-5911 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melissa J Weber | Physical Therapy | Algos, Inc. A Medical Corporation | 830 S Citrus Ave, Suite 203, Azusa, CA 91702-5959 |
| Lina Lee | Anesthesiology | 830 S Citrus Ave, Suite 101, Azusa, CA 91702-5959 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bina A Kamdar | Internal Medicine | 520 W Foothill Blvd, Azusa, CA 91702-2343 | |
| Prakash Amratlal Katbamna | Oral Surgery | 590 E Foothill Blvd, Azusa, CA 91702-2542 | |
| Kathryn Y Ecklund | Psychologist, Clinical | 901 E Alosta Ave, Azusa, CA 91702-2701 | |
| Milton M Hom | Optometry | 822 E Alosta Ave, Azusa, CA 91702-2706 | |
| Alexandria I Arias | Physician Assistant | Scott C Lederhaus Md and Lew B Disney Md Prt Lederhaus Scott C Gen Ptr | 910 E Alosta Ave, Azusa, CA 91702-2709 |
| Derrick G Sueki | Physical Therapy | 680 E Alosta Ave, Suite 212, Azusa, CA 91702-2717 | |
| Matthew T Long | Family Medicine | 521 N Azusa Ave, Azusa, CA 91702-2936 | |
| Juan L Alas | Family Medicine | 545 N San Gabriel Ave, Azusa, CA 91702-2939 | |
| Veronika Johana Weller | Nurse Practitioner | El Proyecto Del Barrio Inc | 150 N Azusa Ave, Azusa, CA 91702-3521 |
| Leslie P Paredes-plaza | Nurse Practitioner | El Proyecto Del Barrio Inc | 150 N Azusa Ave, Azusa, CA 91702-3521 |
| Find all physicians in zip 91702 | |||
| City | AZUSA |
| Zip Code | 91702 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | AZUSA + PHYSICAL THERAPY |
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| 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.