Joseph Jackson (NPI# 1235306143, PAC ID# 7517092372) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
Nation Provider ID (NPI) | 1235306143 |
PAC ID by PECOS | 7517092372 |
Professional Enrollment ID | I20100318000171 |
Full Name | Joseph Jackson |
Address |
725 S Long Beach Blvd Compton CA 90221-4028 |
Gender | M |
Graduation Year | 1970 |
Primary Specialty | PHYSICAL THERAPY |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
725 S Long Beach Blvd, Compton, CA 90221-4028 | ||
1954 Atlantic Ave, Long Beach, CA 90806-5510 |
Street Address |
725 S LONG BEACH BLVD |
City | COMPTON |
State | CA |
Zip | 90221-4028 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jeanette M Kidd | Nurse Practitioner | 1112 N Santa Fe Ave, Compton, CA 90221-1427 | |
Joy O Egwu | Nurse Practitioner | Joy Egwu | 1315 N Bullis Rd, Suite 6, Compton, CA 90221-1662 |
Carol Veneracion-godoy | Physician Assistant | Prohealth Partners, A Medical Group | 711 E Rosecrans Ave, Compton, CA 90221-2143 |
Asdghig D Daderian | Family Medicine | 803 E Rosecrans Ave, East Rancho Dominguez, CA 90221-2145 | |
Gabriella O Oloye | Nurse Practitioner | St. John's Well Child and Family Center, Inc. | 15301 S San Jose Ave, Compton, CA 90221-3131 |
Mohsen Jamei | Internal Medicine | St. John's Well Child and Family Center, Inc. | 15301 S San Jose Ave, Compton, CA 90221-3131 |
Dana M Goldenberg | Physician Assistant | St. John's Well Child and Family Center, Inc. | 15301 S San Jose Ave, Compton, CA 90221-3131 |
Rachel Dimacali | Physician Assistant | St. John's Well Child and Family Center, Inc. | 15301 S San Jose Ave, Compton, CA 90221-3131 |
Sophan Cheng | Nurse Practitioner | St. John's Well Child and Family Center, Inc. | 15301 S San Jose Ave, Compton, CA 90221-3131 |
Marcus Allan P Mercado | Nurse Practitioner | St. John's Well Child and Family Center, Inc. | 15301 S San Jose Ave, Compton, CA 90221-3131 |
Find all physicians in zip 90221 |
City | COMPTON |
Zip Code | 90221 |
Specialty | PHYSICAL THERAPY |
City + Specialty | COMPTON + 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.