GARY D JACKSON
NPI 1033462932
Counselor - Addiction (Substance Use Disorder) in El Monte, CA

Q: What is Gary Jackson's NPI number?

The NPI number for Gary Jackson is 1033462932. It was assigned to this individual provider in the NPPES registry on October 17, 2012. The provider is also known as Gary D Jackson R.

Q: What is Gary Jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Gary Jackson was last updated on October 17, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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 October 17, 2012

4610 SANTA ANITA BLVD, SUITE D, EL MONTE, CA 91731(626) 453-3432 Get Directions Write a Review

NPPES record last updated: October 17, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Gary D Jackson NPPES

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

GARY D JACKSON (NPI 1033462932) is an individual addiction (substance use disorder) provider in El Monte, California, licensed in California (3055-R) and active in the NPI registry since October 2012.

NPPES Registry Identity

NPI1033462932

Entity TypeIndividualMale

Primary Taxonomy101YA0400X

Provider Legal NameGARY D JACKSON

Location Address4610 SANTA ANITA BLVD, SUITE DEl Monte, CA 91731

Mailing Address1800 West Badillo #919West Covina, CA 91790 · (626) 960-3258

Phone(626) 453-3432

Sole ProprietorNo

Enumeration DateOctober 17, 2012

✔ NPI 1033462932 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in CA · 3055-R

4610 SANTA ANITA BLVD, SUITE D, El Monte, CA 91731

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Other Names 1

Other Name (5)Gary D Jackson R

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 Gary Jackson's NPI number?

The NPI number for Gary Jackson is 1033462932. It was assigned to this individual provider in the NPPES registry on October 17, 2012. The provider is also known as Gary D Jackson R.

Where is Gary Jackson located?

Gary Jackson practices at 4610 Santa Anita Blvd, Suite D, El Monte, CA 91731. The listed phone number is (626) 453-3432.

What is Gary Jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Gary Jackson was last updated on October 17, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.