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).
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 |
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 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720317688 | Gary Howard Jackson | Orthopaedic Surgery | 38 Bent Pebble Pt, Lumberton, MS 39455-9037 | 2009-12-23 |
1578692331 | Gary L. Jackson | Internal Medicine | Lincoln County Medical Center, 211 Sudderth, Ruidoso, NM 88345 | 2007-03-05 |
1447237839 | Gary Lee Jackson | Chiropractor | 20595 Sw Tv Hwy #102, Ste 102, Aloha, OR 97006 | 2005-12-27 |
1609426022 | Gary Dean Jackson | Pharmacist | 11340 Three Rivers Rd Ste A, Gulfport, MS 39503-3650 | 2019-09-17 |
1992119838 | Gary Chase Jackson | Optometrist | 6030 W University Blvd, Odessa, TX 79764 | 2014-06-18 |
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 |
1700884947 | Gary L Jackson | Nurse Anesthetist, Certified Registered | 4100 Summerhill Rd, Texarkana, TX 75503-2732 | 2005-07-12 |
Street Address |
4610 SANTA ANITA BLVD, SUITE D |
City | EL MONTE |
State | CA |
Zip Code | 91731 |
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 Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
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 |
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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.