DR. GILBERT JOSEPH JACKSON (NPI# 1649350620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1649350620 |
Entity Type | Individual |
Full Name | DR. GILBERT JOSEPH JACKSON |
Credential | D.C. |
Practice Address |
3249 Mt Diablo Ct Suite 102 Lafayette CA 94549-4084 |
Mailing Address |
3249 Mt. Diablo Court Suite 102 Lafayettte CA 94549-4050 |
Practice Telephone | 9259524222 |
Practice Fax Number | 9255924212 |
Mailing Telephone | 9259524222 |
Mailing Fax Number | 9259524212 |
Enumeration Date | 2006-10-16 |
Last Update Date | 2014-07-11 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 111N00000X | Chiropractor | 19166 | CA | Chiropractic Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | PTAN# | DC0191660 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356421259 | Gilbert Marc Jackson | Obstetrics & Gynecology | 30 N 1900 E # 2b-200, Salt Lake City, UT 84132-0002 | 2006-10-16 |
Street Address |
3249 MT DIABLO CT SUITE 102 |
City | LAFAYETTE |
State | CA |
Zip Code | 94549-4084 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023049467 | Thomas R Donovan | Chiropractor | 3249 Mt Diablo Ct, 101-b, Lafayette, CA 94549-4084 | 2006-07-05 |
1881127686 | David Franklin | Counselor | 3249 Mt Diablo Ct, Suite 210, Lafayette, CA 94549-4084 | 2017-04-07 |
1083772412 | Andrew Lawson Stewart | Chiropractor | 3249 Mt Diablo Ct, Ste 101b, Lafayette, CA 94549-4069 | 2006-12-05 |
1457436701 | Maria E Steelman | Pediatrics | 3249 Mt Diablo Ct, 105, Lafayette, CA 94549-4084 | 2006-10-26 |
1851473466 | Stacy L Jackson | Chiropractor | 3249 Mt Diablo Ct, Suite 102, Lafayette, CA 94549-4084 | 2006-10-20 |
1730110172 | Della L Faulkner | Chiropractor | 3249 Mt Diablo Ct, 101- B, Lafayette, CA 94549-4084 | 2006-07-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104427004 | Veronica Adelaid Valera-averilla | Behavior Technician | 3650 Mt Diablo Blvd. Ste. 107, Lafayette Ca Contra, CA 94549 | 2020-11-06 |
1679128870 | Zong Ning Zhou | Behavior Technician | 3650 Mt.diablo Blvd., Suite 107, Lafayette, CA 94549 | 2019-08-05 |
1912551227 | Tamiesha Jackson | Behavior Technician | Ste Consultant, LLC, 3650 Mt. Diablo Blvd, Suite 107, Lafayette, CA 94549 | 2019-07-25 |
1528525375 | Tiara Lajai Aubrey | Behavior Technician | 3560 Mt. Diablo Blvd, Suite 107, Layfatte, CA 94549 | 2019-02-28 |
1215409990 | Marisa Della Marmolejo | Case Manager/Care Coordinator | Ste Consultants, LLC 3650 Mt Diablo Blvd., Suite 107, Lafayette, CA 94549 | 2018-12-19 |
1235608399 | Andrew Thompson | Behavior Technician | 3650 Mt. Diablo Blvd, Suite 107, Lafayette, CA 94549 | 2018-11-19 |
1982172953 | Amber Jackson | Behavior Technician | Ste, LLC, 3650 Mt. Diablo Blvd., Suite 107, Lafayette, CA 94549 | 2018-11-08 |
1104393396 | Alexis Taper | Behavior Technician | Ste Consultants LLC, 3650 Mt. Diablo Blvd., Suite 107, Lafayette, CA 94549 | 2018-10-26 |
1023508793 | Alyssa Savinovich | Behavior Technician | 3560 Mt. Diablo Blvd., Suite 107, Lafayette, CA 94549 | 2018-05-17 |
1831689140 | Kannambra M Raja | Behavior Technician | Ste Consultants LLC, 3650 Mt. Diablo Blvd, Suite 107, Lafayette, CA 94549 | 2018-05-11 |
Find all providers in zip 94549 |
Taxonomy Code | 111N00000X |
Grouping | Chiropractic Providers |
Classification | Chiropractor |
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811514763 | Daniel William Cadona | Chiropractor | 200 Beaullieu Dr Ste 9b2, Lafayette, LA 70508-7230 | 2020-06-26 |
1750920237 | Jennings Family Chiropractic Clinic Inc. | Chiropractor | 113 Flagg Place Suite A, Lafayette, LA 70508-7025 | 2019-12-31 |
1588219505 | Andrea Lynn Schrock | Chiropractor | 580 Viridian Dr Apt 310, Lafayette, CO 80026-7036 | 2019-08-06 |
1437620747 | Alexander James Schepler | Chiropractor | 297 N Us Highway 287 Ste 105, Lafayette, CO 80026-8953 | 2018-12-13 |
1538682554 | Jeremy Steel | Chiropractor | 1043 Stuart St Ste 100, Lafayette, CA 94549-4063 | 2017-07-21 |
1922534734 | Angelique Miller | Chiropractor | 108 Republic Ave, Suite B, Lafayette, LA 70508-6843 | 2017-05-11 |
1356880116 | Jereme' Chais Menard Sr. | Chiropractor | 130 Rue Beauregard Ste A, Lafayette, LA 70508-3130 | 2017-02-13 |
1659828143 | Nancy Lam | Chiropractor | 2 Walter Scholer Dr Ste B, Lafayette, IN 47909-6382 | 2016-09-01 |
1033563424 | Compass Chiropractic, Inc. | Chiropractor | 1365 Forest Park Cir Ste 102, Lafayette, CO 80026-3195 | 2016-04-21 |
1447617683 | Chelsey Lynn Lueken | Chiropractor | 2606 Veterans Memorial Pkwy S Ste 1, Lafayette, IN 47909-9192 | 2016-01-19 |
Find all providers in LAFAYETTE |
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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.