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ANITA CAL JACKSON M.D. NPI 1063519486


NPI Information

NPI: 1063519486
Provider Name: ANITA CAL JACKSON, M.D.
Classification: Family Medicine - 207QA0505X
Entity Type: Individual

Specialization: Adult Medicine

Organization: MENIFEE GLOBAL MULTI SPECIALTY GROUP, INC.

PECOS Registration: Yes

CLIA Number: 05D2081389

Address:
44274 GEORGE CUSHMAN CT STE 212
TEMECULA, CA
ZIP 92592
Phone: (951) 694-4688
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Anita Cal Jackson, M.D. is an adult medicine family medicine in Temecula, CA with 48 years of experience. The provider is definition to come. Anita Cal Jackson, M.D. NPI is 1063519486. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

44274 GEORGE CUSHMAN CT STE 212
TEMECULA, CA
ZIP 92592-945
Phone: (951) 694-4688
Fax: (888) 827-3492

The NPI 1063519486 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The CLIA number assigned to this NPI record is 05D2081389 - physician office with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Routine EKG using at least 12 leads including interpretation and report (HCPCS:93000)

The enumeration date for this NPI number is 9/20/2006 and was last updated on 11/8/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207QG0300XFamily MedicineGeriatric MedicineA053675CALIFORNIANo
2207QA0505XFamily MedicineAdult MedicineA053675CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.