DR. CANDACE LYNN JACKSON MD NPI 1861997298

NPI Information

  • NPI: 1861997298
  • Provider Name: DR. CANDACE LYNN JACKSON, MD
  • Classification: Internal Medicine - 207RC0000X
  • Specialization: Cardiovascular Disease
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1000 FIVEPOINT
    IRVINE, CA
    ZIP 92618
  • Phone: (949) 671-8000

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NPI Details

DR. Candace Lynn Jackson, MD is a cardiovascular disease internal medicine in Irvine, CA with 8 years of experience. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. DR. Candace Lynn Jackson, MD NPI is 1861997298. 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:

1000 FIVEPOINT
IRVINE, CA
ZIP 92618-377
Phone: (949) 671-8000

The NPI 1861997298 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 3/27/2018 and was last updated on 9/18/2025.

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
1207RC0000XInternal MedicineCardiovascular DiseaseA173379CALIFORNIAYes
2207RC0000XInternal MedicineCardiovascular Disease326893NEW YORKNo

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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