TOMMY JACKSON (NPI# 1497297154) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497297154 |
| Entity Type | Individual |
| Full Name | TOMMY JACKSON |
| Practice Address |
1760 Termino Ave 208 Long Beach CA 90804-2105 |
| Practice Telephone | 5629615655 |
| Practice Fax Number | 5629618836 |
| Mailing Telephone | 5629615655 |
| Mailing Fax Number | 5629618836 |
| Enumeration Date | 2016-11-12 |
| Last Update Date | 2016-11-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZX2200X |
Specialist/Technologist, Other Specialization: Orthopedic Assistant |
02-0922 | CA | Technologists, Technicians & Other Technical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | NATIONAL BOARD FOR CERTIFICATION OF ORTHOPAEDIC TECHNOLOGISTS | 02-0922 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053324186 | Tommy Lamar Jackson | Physician Assistant | 1802 Yakima Ave Ste 204, Tacoma, WA 98405-5304 | 2006-08-13 |
| Street Address |
1760 TERMINO AVE 208 |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90804-2105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114927860 | Long Beach Advanced Orthopedic Medical Center Inc | Orthopaedic Surgery | 1760 Termino Ave, 208, Long Beach, CA 90804-2105 | 2005-07-22 |
| 1245729268 | Alejandro Estrada | Nurse Practitioner | 1760 Termino Ave, Long Beach, CA 90804-2105 | 2018-05-04 |
| 1184025553 | Mario San Bartolome, Md, Mba, A Professional Corporation | Specialist | 1760 Termino Ave, Suite 223, Long Beach, CA 90804-2105 | 2014-09-04 |
| 1053721878 | Miller Children's Hospital | General Acute Care Hospital | 1760 Termino Ave, Long Beach, CA 90804-2105 | 2014-05-01 |
| 1568717221 | Misha Max Heller | Dermatology | 1760 Termino Ave, Suite #114, Long Beach, CA 90804-2105 | 2012-07-19 |
| 1689939977 | Nicholas S.c. Lee M.d. Inc | Obstetrics & Gynecology | 1760 Termino Ave, Suite 200, Long Beach, CA 90804 | 2012-07-12 |
| 1053686675 | Richard L Bell Dpm Inc | Podiatrist | 1760 Termino Ave, 309, Long Beach, CA 90804-2105 | 2012-03-14 |
| 1871881458 | Amy Katherine Williams | Orthopaedic Surgery | 1760 Termino Ave, Suite 308, Long Beach, CA 90804-2105 | 2011-07-15 |
| 1801194873 | Leon L Chen | Pediatrics | 1760 Termino Ave, Suite 300, Long Beach, CA 90804-2105 | 2011-03-01 |
| 1831332865 | Childrens Gastroenterology Mcsg | Pediatrics | 1760 Termino Ave, Suite 300, Long Beach, CA 90804-2105 | 2009-04-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821616673 | Exporter Medical LLC | Durable Medical Equipment & Medical Supplies | 2990 E. Pacific Coast Hwy., Suite B, Long Beach, CA 90804 | 2020-07-08 |
| 1700436094 | Magdalema Ballesteros-reynolds | Technician | 844 Ohio Ave, Long Beach, CA 90804 | 2019-09-18 |
| 1093365447 | Edelmira D Sanchez | Technician | 837 Bennett Ave, Long Beach, CA 90804 | 2019-09-18 |
| 1164980165 | Carlton Fortenberry | Behavior Technician | 775 Obispo Ave., Unit 1, Long Beach, CA 90804 | 2019-03-08 |
| 1427522812 | Western Dental Services, Inc. | Dentist | 2306 E 7th Street, Long Beach, CA 90804 | 2019-01-18 |
| 1124557657 | Keav Siv Khov | Social Worker | 4510 East Pacific Coast Highway, Suite 600, Long Beach, CA 90804 | 2017-06-08 |
| 1265966576 | Kensie Hoag | Social Worker | 4510 E PCh, Suite 305, Long Beach, CA 90804 | 2017-04-13 |
| 1528424389 | Rem Pacific Sleep Center, Inc. | Specialist/Technologist | 2990 E. Pacific Coast Hwy, Suite A, Long Beach, CA 90804 | 2016-01-10 |
| 1417326935 | Kelli Ann Carlson | Student in an Organized Health Care Education/Training Program | 2025 E. 7th Street, Long Beach, CA 90804 | 2015-09-15 |
| 1487059010 | Kenenth K. Lee, D.d.s., Inc. | Preferred Provider Organization | 4755 E. Anaheim St., Long Beach, CA 90804 | 2014-10-24 |
| Find all providers in zip 90804 | ||||
| Taxonomy Code | 246ZX2200X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Orthopedic Assistant |
| An Orthopaedic Assistant is a person who has been trained to work as a physician extender in both clinical and surgical environments. An Orthopaedic Assistant assists with aspects of patient care as determined by the supervising surgeon including, but not limited to, obtaining patient history, assisting with examinations, injections, recording of office notes, and application/adjustment/removal of splints, casts, and other immobilization devices. Acting as a surgical first assistant for orthopaedic surgery cases includes providing aid in exposure, hemostasis, positioning of the patient, suturing and closure of body planes and skin, application of wound dressings or immobilization devices, and other technical functions that will help the surgeon carry out a safe operation with optimal results for the patient. An Orthopaedic Assistant may be licensed, registered, or certified depending on the state in which the individual practices. |
| Notes: Source: American Society of Orthopaedic Assistants (ASOA), 2014 [7/1/2014: new] Additional Resources: National Board for Certification of Orthopaedic Assistants |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396295226 | Gregory Vincent Froelich | Specialist/Technologist, Other | 6692 Healey Ave, Garden Grove, CA 92845-2217 | 2016-10-04 |
| 1588113401 | Brenda Parmenter | Specialist/Technologist, Other | 2173 Camino Del Este, Apt. 6318, San Diego, CA 92108 | 2016-10-04 |
| 1639626542 | Harold Rice | Specialist/Technologist, Other | 14704 Presilla Dr, Jamul, CA 91935-4005 | 2016-09-08 |
| 1295282648 | Stephen Fasano | Specialist/Technologist, Other | 5472 Geneva Ave, San Diego, CA 92114-1121 | 2016-09-01 |
| 1336509801 | Egon H. Trujillo | Specialist/Technologist, Other | 501 Torrance Bl., Torrance, CA 90502 | 2016-02-26 |
| 1487028999 | Karli Hinson | Specialist/Technologist, Other | 351 Santa Fe Drive, Ste. 100, Encinitas, CA 92024 | 2015-11-20 |
| 1457725434 | Michael Mercado | Specialist/Technologist, Other | 5833 Rockne Ave, Whittier, CA 90606-1117 | 2015-11-13 |
| 1518567734 | Kyle Michael Barefield | Specialist/Technologist, Other | 320 Santa Fe Dr Ste 301, Encinitas, CA 92024-5140 | 2020-10-27 |
| 1043842123 | Denise Francis-landis | Specialist/Technologist, Other | 2116 E Orangeburg Ave Ste A, Modesto, CA 95355-3370 | 2020-02-06 |
| 1457997710 | Alyssa Sawaya | Specialist/Technologist, Other | 9850 Genesee Ave Ste 210, La Jolla, CA 92037-1206 | 2019-11-21 |
| Find all providers with the same taxonomy | ||||
| City | LONG BEACH |
| Zip Code | 90804 |
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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.