DR. Charles William Jackson, M.D. is a general practice in Huntington Beach, CA with 48 years of experience. DR. Charles William Jackson, M.D. NPI is 1083662845. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
17122 BEACH BLVD
SUITE 102
HUNTINGTON BEACH, CA
ZIP 92647-992
Phone: (714) 847-6545
Fax: (714) 847-6547
The NPI 1083662845 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 05D0580056 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).
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.
- Administration of influenza virus vaccine (HCPCS:G0008)
- Injection beneath the skin or into muscle for therapy, diagnosis, or prevention (HCPCS:96372)
- Destruction of skin growth (HCPCS:17000)
The enumeration date for this NPI number is 5/4/2006 and was last updated on 7/30/2010.