GARY D JACKSON


Address: 4610 Santa Anita Blvd, Suite D, El Monte, CA 91731
Phone: 6264533432

GARY D JACKSON (NPI# 1033462932) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033462932
Entity Type Individual
Full Name GARY D JACKSON
Other Name GARY D JACKSON
Practice Address 4610 Santa Anita Blvd, Suite D
El Monte
CA 91731
Mailing Address 1800 West Badillo #919
West Covina
CA 91790
Practice Telephone 6264533432
Mailing Telephone 6269603258
Enumeration Date 2012-10-17
Last Update Date 2012-10-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
3055-R CA Behavioral Health & Social Service Providers

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1154528263 Gary Wayne Jackson Physician Assistant 1804 College Ave, Levelland, TX 79336-6507 2007-07-02
1447473772 Gary Jackson Counselor 1756 S Lewis Rd, Camarillo, CA 93012-8520 2007-04-11
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Office Location

Street Address 4610 SANTA ANITA BLVD, SUITE D
City EL MONTE
State CA
Zip Code 91731

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1154965994 Anahi Mora Case Manager/Care Coordinator 3629 Santa Anita Ave, El Monte, CA 91731 2019-11-05
1346882321 Rosemary Pespisa Technician 10558 Emery St., El Monte, CA 91731 2019-10-11
1962058123 Maria Jesusa Gabriel Licensed Vocational Nurse 11041 E. Valley Blvd., El Monte, CA 91731 2019-08-14
1346720679 Ivan Bustamante Counselor 11429 Valley Boulevard, El Monte, Ca 91731, El Monte, CA 91731 2018-08-16
1891213229 Abbye Williams Counselor 11100 Valley Blvd Suite 116, El Monte, CA 91731 2017-09-06
1215467279 All Health Alliance Medical Group, Inc. Physical Medicine & Rehabilitation 10505 Valley Boulevard, #238, El Monte, CA 91731 2017-06-13
1427416486 Mai Le Counselor 11041 E. Valley Blvd, El Monte, CA 91731 2016-02-05
1235526724 Kristine Malana Social Worker 10418 E. Valley Blvd., Suite A, El Monte, CA 91731 2015-04-22
1376980250 Aura Hernandez Rehabilitation Practitioner 9865 Baldwin Pl., El Monte, CA 91731 2013-05-31
1639411754 Roxana Yaneth De Paz Nurse's Aide 10481 Valley Blvd., El Monte, CA 91731 2013-03-27
Find all providers in zip 91731

Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1083230999 Melany I Morales Counselor 11046 Main St, El Monte, CA 91731-2617 2020-06-17
1689207045 Sylvia Valdez Counselor Healthright360, Inc, El Monte, CA 91732 2020-02-13
1144706599 John Alexander Ramirez Counselor 3126 Granada Ave, El Monte, CA 91731-3326 2018-07-18
1356853477 Darcy Ann Mascarenas Counselor 3131 Santa Anita Ave Ste 112b, El Monte, CA 91733-1369 2017-10-30
1891213229 Abbye Williams Counselor 11100 Valley Blvd Suite 116, El Monte, CA 91731 2017-09-06
1427416486 Mai Le Counselor 11041 E. Valley Blvd, El Monte, CA 91731 2016-02-05
1013313998 Ernesto Pineda Counselor 3131 Santa Anita Ave Ste 112, El Monte, CA 91733-1369 2014-11-05
1326329665 Cynthia Lujan Deleon Counselor 4610 Santa Anita Ave, Suite D, El Monte, CA 91731-1311 2011-08-31
1396078077 Osiris R Bernal Counselor 9702 Rio Hondo Pkwy, El Monte, CA 91733-1242 2009-09-11
1730392218 Norman E Sprunck Counselor 3831 Cogswell Rd, El Monte, CA 91732-2401 2007-05-08
Find all providers in EL MONTE

Competitor

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City EL MONTE
Zip Code 91731

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Dataset Information

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.

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