Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

PHILIP JACKSON
NPI 1003597071
Student in an Organized Health Care Education/Training Program in Los Angeles, CA

Q: What is Philip Jackson's NPI number?

The NPI number for Philip Jackson is 1003597071. It was assigned to this individual provider in the NPPES registry on July 31, 2023.

Q: What is Philip Jackson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Philip Jackson was last updated on August 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 31, 2023

1902 MARENGO ST, LOS ANGELES, CA 90033(323) 276-6470 Get Directions Write a Review

NPPES record last updated: August 24, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Philip Jackson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHILIP JACKSON (NPI 1003597071) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since July 2023.

NPPES Registry Identity

NPI1003597071

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NamePHILIP JACKSON

Location Address1902 MARENGO STLos Angeles, CA 90033-1312

Mailing Address1902 Marengo StLos Angeles, CA 90033-1312

Phone(323) 276-6470

Sole ProprietorYes

Enumeration DateJuly 31, 2023

Last NPPES UpdateAugust 24, 2026

NPPES CertifiedAugust 24, 2026

✔ NPI 1003597071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X

1902 MARENGO ST, Los Angeles, CA 90033

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHANG CHEN PHMARMD

Pharmacist

1902 MARENGO ST
LOS ANGELES, CA 90033

Los Angeles County (626) 623-3161

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Philip Jackson's NPI number?

The NPI number for Philip Jackson is 1003597071. It was assigned to this individual provider in the NPPES registry on July 31, 2023.

Where is Philip Jackson located?

Philip Jackson practices at 1902 Marengo St, Los Angeles, CA 90033. The listed phone number is (323) 276-6470.

What is Philip Jackson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Philip Jackson was last updated on August 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.