KEVIN JACKSON PA-C NPI 1326498361

NPI Information

  • NPI: 1326498361
  • Provider Name: KEVIN JACKSON, PA-C
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2251 N HARBOR BLVD
    FULLERTON, CA
    ZIP 92835
  • Phone: (714) 449-6230

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NPI Details

Kevin Jackson, PA-C is a medical physician assistant in Fullerton, CA with 10 years of experience. Kevin Jackson, PA-C NPI is 1326498361. 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:

2251 N HARBOR BLVD
FULLERTON, CA
ZIP 92835-601
Phone: (714) 449-6230

The NPI 1326498361 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 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.

  • Removal of muscle and/or tissue, 20.0 sq cm or less (HCPCS:11043)
  • Removal of muscle and/or tissue, each additional 20.0 sq cm or less (HCPCS:11046)
  • Removal of skin and tissue, 20.0 sq cm or less (HCPCS:11042)
  • Removal of skin and tissue, each additional 20.0 sq cm or less (HCPCS:11045)
  • Therapy procedure using ultrasound (HCPCS:97610)
  • Established patient home visit, typically 25 minutes (HCPCS:99348)
  • Follow-up nursing facility visit per day, typically 15 minutes (HCPCS:99308)
  • Replacement of stomach or large bowel tube using fluoroscopic guidance with contrast (HCPCS:49450)
  • New patient home visit, typically 45 minutes (HCPCS:99343)
  • Application of chemical to stop tissue regrowth in wound (HCPCS:17250)
  • Follow-up nursing facility visit per day, typically 10 minutes (HCPCS:99307)
  • Initial nursing facility visit per day, typically 35 minutes (HCPCS:99305)

The enumeration date for this NPI number is 6/21/2016 and was last updated on 6/28/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AM0700XPhysician AssistantMedical54285CALIFORNIAYes

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: 11/21/2025

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