DR. OSCAR J. JACKSON (NPI# 1902901036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902901036 |
| Entity Type | Individual |
| Full Name | DR. OSCAR J. JACKSON |
| Credential | M.D. |
| Practice Address |
1342 Haight St San Francisco CA 94117-2909 |
| Mailing Address |
93 Monterey Blvd San Francisco CA 94131-3261 |
| Practice Telephone | 4155520916 |
| Practice Fax Number | 4158611316 |
| Mailing Telephone | 4154690686 |
| Mailing Fax Number | 4153372012 |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 174400000X | Specialist | C20986 | CA | Other Service Providers |
| X | 261Q00000X | Clinic/Center | C20986 | CA | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215019278 | Oscar B Jackson Jr. | Ophthalmology | 3509 Lawton Avenue, Austin, TX 78731-6112 | 2006-10-19 |
| 1598744542 | Oscar D. Jackson Jr. | Specialist | 805 S Hansell St, Thomasville, GA 31792-5560 | 2006-01-10 |
| 1356767776 | Oscar Jackson | Home Health Aide | 1420 K St Nw Fl 7, Washington, DC 20005-2500 | 2014-03-10 |
| Street Address |
1342 HAIGHT ST |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94117-2909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497231765 | Tsz Ching Isaac Chung | Counselor | 2020 Hayes Street, San Francisco, CA 94117 | 2018-07-19 |
| 1124578901 | Michelle Elizabeth Cohen | Nurse Practitioner | 350 Parnassus Ave Ste 908, San Francisco, CA 94117 | 2016-10-05 |
| 1235686346 | Amy Burtelow | Massage Therapist | 425 Divisadero Street Suite 300, San Francisco, CA 94117 | 2016-09-07 |
| 1851790430 | Elissa Stevens | Counselor | 1757 Waller Street, San Francisco, CA 94117 | 2014-08-19 |
| 1831508043 | Colmed Laboratories & Radiology | Clinical Medical Laboratory | 560 Haight Street #104, San Francisco, CA 94117 | 2014-08-13 |
| 1972917847 | Radha Yerneni | Internal Medicine | 450 Stanyan St Fl 6, San Francisco, CA 94117 | 2014-06-18 |
| 1811333594 | Julia Wong | Counselor | 425 Divisadero Street, Suite 300, San Francisco, CA 94117 | 2013-05-21 |
| 1740623529 | Cody Elizabeth Berry | Social Worker | 425 Divisadero, Suite 300, San Francisco, CA 94117 | 2013-04-11 |
| 1235471848 | Steven Ryan Vidrine | Psychiatry & Neurology | 350 Parnassus Ave Ste 201, San Francisco, CA 94117 | 2013-03-21 |
| 1699043810 | Podiatry Plan Inc | Podiatrist | 1353b Haight Street, San Francisco, CA 94117 | 2011-12-02 |
| Find all providers in zip 94117 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417572462 | Sarah Velez | Specialist | 1001 Potrero Ave Rm 7g19, San Francisco, CA 94110-3518 | 2020-06-15 |
| 1336792050 | Sylva Melkonian | Specialist | 2676 Ocean Ave, San Francisco, CA 94132-1630 | 2019-07-22 |
| 1295298891 | Peter Y Kim | Specialist | 1380 Howard St # 201c, San Francisco, CA 94103-2638 | 2019-04-10 |
| 1013476910 | Teresa Chu Chan | Specialist | 1735 Mission St Ste 3280, San Francisco, CA 94103-2417 | 2019-03-19 |
| 1780143388 | Myrtice Jackie Haney | Specialist | 1735 Mission St Ste 3080, San Francisco, CA 94103-2417 | 2019-03-14 |
| 1750845087 | Gigi Fong | Specialist | 995 Potrero Ave # Ward95, San Francisco, CA 94110-2859 | 2019-01-31 |
| 1316411465 | Sylvia Maraccini | Specialist | 675 Minna St, San Francisco, CA 94103-2717 | 2019-01-11 |
| 1215424262 | Danielle Denise Taylor | Specialist | 25 Essex St Ste 122, San Francisco, CA 94105-3195 | 2018-04-16 |
| 1720588981 | Annika Herlemann | Specialist | Dept. of Urology, Ucsf, 550 16th St # 6234, San Francisco, CA 94158-2545 | 2018-02-14 |
| 1417468521 | Ayumi Fujimoto Scharer | Specialist | 1001 Potrero Ave # Wd93, San Francisco, CA 94110-3518 | 2017-10-16 |
| Find all providers in SAN FRANCISCO | ||||
| City | SAN FRANCISCO |
| Zip Code | 94117 |
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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.