MRS. MARILYN ORIO JACKSON NP NPI 1699847913

NPI Information

  • NPI: 1699847913
  • Provider Name: MRS. MARILYN ORIO JACKSON, NP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 41715 WINCHESTER RD
    SUITE 204
    TEMECULA, CA
    ZIP 92590
  • Phone: (951) 719-1414

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NPI Details

MRS. Marilyn Orio Jackson, NP is a family nurse practitioner in Temecula, CA. MRS. Marilyn Orio Jackson, NP NPI is 1699847913. 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:

41715 WINCHESTER RD
SUITE 204
TEMECULA, CA
ZIP 92590-808
Phone: (951) 719-1414
Fax: (951) 719-3158

The NPI 1699847913 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 enumeration date for this NPI number is 11/14/2006 and was last updated on 12/16/2011.

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
1363LF0000XNurse PractitionerFamily13164CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1ZZZ32057ZMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIAPPIN
2P85774MEDICARE UPINCALIFORNIA
3ZZZ32057ZMEDICARE PINCALIFORNIA
4RN288619MEDICAIDCALIFORNIA

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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