FREDERIC LESLIE JACKSON


Address: 2402 Old Ranch Rd, Escondido, CA 92027-6727
Phone: 7608555423

FREDERIC LESLIE JACKSON (NPI# 1255407318) 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) 1255407318
Entity Type Individual
Full Name FREDERIC LESLIE JACKSON
Credential DO, MPH
Practice Address 2402 Old Ranch Rd
Escondido
CA 92027-6727
Practice Telephone 7608555423
Practice Fax Number 8773590651
Mailing Telephone 7608555423
Mailing Fax Number 8773590651
Enumeration Date 2006-11-28
Last Update Date 2008-12-13
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207Q00000X Family Medicine OS0004196 FL Allopathic & Osteopathic Physicians
N 207Q00000X Family Medicine 0102032316 VA Allopathic & Osteopathic Physicians
Y 207QH0002X Family Medicine
Specialization: Hospice and Palliative Medicine
20A10056 CA Allopathic & Osteopathic Physicians

Office Location

Street Address 2402 OLD RANCH RD
City ESCONDIDO
State CA
Zip Code 92027-6727

Providers in the same zip code

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1912404179 Shaunntanel Lund Midwife 16625 New Moon Lane, Escondido, CA 92027 2018-04-12
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1336413426 Nadir T. Khuri General Practice 3284 White Hawk Rd., Escondido, CA 92027 2012-03-07
1598914624 Maria Graciela Herrera Case Manager/Care Coordinator 463 N Midway, Ste 200, Escondido, CA 92027 2008-09-12
1891850913 Anna Kansky Dentist 1711 E Valley Pkwy, Millennium Dental, Escondido, CA 92027 2006-12-27
1629164322 County of San Diego Exclusive Provider Organization 420 North Falconer Road, Escondido, CA 92027 2006-10-04
1619968005 Kaufman Physical Therapy Inc Physical Therapist 1318 Mountain Park Place, Escondido, CA 92027 2005-11-03
1336670645 Ashley Ingram Dentist 430 N Rose St, Escondido, CA 92027 2017-03-27
1487899233 Lindsley Marie Shaw Case Manager/Care Coordinator 463 N Midway, Escondido, CA 92027 2008-12-09
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Taxonomy Information

Taxonomy Code 207QH0002X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine
Specialization Hospice and Palliative Medicine

Taxonomy Definition

A family medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.
Notes: Source: American Academy of Hospice and Palliative Medicine, www.aahpm.org [1/1/2007: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1538168950 The Elizabeth Hospice, Inc. Family Medicine 500 La Terraza Blvd, Suite 130, Escondido, CA 92025-3875 2005-07-18

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1821617978 St. Joseph Home Care Network Family Medicine 447 College Ave, Santa Rosa, CA 95401-5141 2020-04-09
1639704604 Rose Desert Hospice Family Medicine 42156 10th St W Ste 106, Lancaster, CA 93534-7025 2020-03-10
1033765060 John C Nelson Md Inc Family Medicine Hospice of Humboldt, 3327 Timber Fall Court, Eureka, CA 95503 2019-08-15
1083145247 Michael J Cortez Md Inc Family Medicine 826 Alberta St, Altadena, CA 91001-5322 2017-03-21
1760735492 Devader Medical & Research Group,inc. Family Medicine 175 N Redwood Dr, Suite 275, San Rafael, CA 94903-1972 2012-10-18
1306197520 Eunice Kim Family Medicine 25941 Campo Cv, Loma Linda, CA 92354-6531 2012-09-27
1114155215 Mook-lan Sauvignon Iglowitz Family Medicine 4150 V Street Suite 3400, Palliative Care Department, Sacramento, CA 95817 2009-06-26
1063672244 Satya Chelamkuri Family Medicine El Camino Hospital, 2500 Grant Road, Mountain View, CA 94040 2008-06-11
1053528455 Richard Marc Goldstein Family Medicine 1920 E Katella Ave Ste U, Orange, CA 92867-5146 2007-05-16
1386866689 Michelle A Thomas Md Inc Family Medicine 6061 N First, Suite 102, Fresno, CA 93729 2007-05-03
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Competitor

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City ESCONDIDO
Zip Code 92027

Improve Information

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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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