ANITA C. JACKSON, M.D., INC (NPI# 1326145756) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326145756 |
| Entity Type | Organization |
| Organization Name | ANITA C. JACKSON, M.D., INC |
| Practice Address |
31720 Highway 79 South Suite 203 Temecula CA 92592 |
| Practice Telephone | 9516944688 |
| Practice Fax Number | 9516944760 |
| Mailing Telephone | 9516944688 |
| Mailing Fax Number | 9516944760 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ANITA C JACKSON (PRESIDENT) |
| Authorized Official Telephone | 9516944688 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
A053675 | CA | Ambulatory Health Care Facilities |
| Street Address |
31720 HIGHWAY 79 SOUTH SUITE 203 |
| City | TEMECULA |
| State | CA |
| Zip Code | 92592 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255423521 | Jennifer Ann Orr | Physical Therapist | 31720 Highway 79 South, Ste 101, Temecula, CA 92592-5895 | 2006-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366051625 | Huey Q Tran, Dds, Inc. | Dentist | 33321 Temecula Parkway Ste 104, Temecula, CA 92592 | 2020-07-23 |
| 1902425465 | Isak Elkayam | Student in an Organized Health Care Education/Training Program | 31700 Temecula Parkway, Parkway Suites # 2- Gme, Temecula, CA 92592 | 2020-04-14 |
| 1033738737 | Jordan Buckley | Student in an Organized Health Care Education/Training Program | Uhs Socal Medical Education Consortium, 31700 Temecula Parkway Parkway Suites # 2- Gme, Temecula, CA 92592 | 2020-04-13 |
| 1366071052 | Areg Hovsepyan | Internal Medicine | 31700 Temecula Parkway Parkway Suites # 2- Gme, Temecula, CA 92592 | 2020-04-03 |
| 1558906982 | Session Sync, Inc. | Point of Service | 44262 Marcelina Court, Temecula, CA 92592 | 2019-11-08 |
| 1962964718 | Krishna Theja Reddy Venkatamuni Reddy | Student in an Organized Health Care Education/Training Program | Uhs Socal Medical Education Consortium, 31700 Temecula Parkway, Parkway Suites # 2- Gme, Temecula, CA 92592 | 2019-04-02 |
| 1598220246 | Shanay Lamont Moore | Behavior Technician | 30660 Milky Way Dr., V174, Temecula, CA 92592 | 2019-02-07 |
| 1477029502 | Tibbitts Temecula Dental Group | Clinic/Center | 32909 Temecula Parkway Ste 102, Temecula, CA 92592 | 2018-10-16 |
| 1720563364 | Nicole Louise Hernandez | Behavioral Analyst | 32144 Camino Nunez, Temecula, CA 92592 | 2018-09-29 |
| 1174010664 | Kiet Chau | Pharmacist | 32228 Highway 79 South, Temecula, CA 92592 | 2018-04-19 |
| Find all providers in zip 92592 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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|---|---|---|---|---|
| 1063055614 | Amh Ca Series II PC | Clinic/Center | 29645 Rancho California Rd Ste 117, Temecula, CA 92591-5285 | 2019-10-25 |
| 1215358502 | Spa M Medical Corporation | Clinic/Center | 27520 Ynez Rd, Suite C5, Temecula, CA 92591-4650 | 2014-01-03 |
| 1003150657 | Azim U. Azhand, M.d. Professional Corporation | Clinic/Center | 27450 Ynez Rd, Suite 108, Temecula, CA 92591-4671 | 2012-11-20 |
| 1295927408 | Douglas F. Carrasco M.d. Inc. | Clinic/Center | 44274 George Cushman Ct, Suite 210, Temecula, CA 92592-5945 | 2007-08-11 |
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| 1902404247 | Arbol Acupuncture | Clinic/Center | 2620 Foothill Blvd Ste A, La Crescenta, CA 91214-4509 | 2020-10-09 |
| 1346857802 | Sos Environmental Health | Clinic/Center | 59 Estaban Dr, Camarillo, CA 93010-1609 | 2020-09-29 |
| 1457966442 | Carlos A. Alvarez., Md., Inc | Clinic/Center | 6001 Truxtun Ave Ste 220, Bakersfield, CA 93309-0662 | 2020-09-15 |
| 1265046395 | Riverway Medical Group A Medical Corporation | Clinic/Center | 1827 S Court St Ste B, Visalia, CA 93277-5469 | 2020-09-05 |
| 1386258754 | Apollo Health Services Inc | Clinic/Center | 438 E Katella Ave Ste 229, Orange, CA 92867-4803 | 2020-09-03 |
| 1538772843 | Unlimited Urgent Care Inc. | Clinic/Center | 8781 Van Nuys Blvd Ste A, Panorama City, CA 91402-2401 | 2020-08-26 |
| Find all providers with the same taxonomy | ||||
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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.