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MAIDA ELENA JACKSON FNP
NPI 1043945157
Nurse Practitioner - Family in Los Angeles, CA

Active since July 21, 2022
3612 1/2 E 1ST ST, LOS ANGELES, CA 90063(323) 264-7796(323) 264-7778 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Maida Elena Jackson Fnp NPPES

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

MAIDA ELENA JACKSON FNP (NPI 1043945157) is an individual family provider in Los Angeles, California, licensed in California (95015651) and active in the NPI registry since July 2022.

NPPES Registry Identity

NPI1043945157
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMAIDA ELENA JACKSONCredential: FNP
Location Address3612 1/2 E 1ST STLos Angeles, CA 90063-2326
Mailing Address6137 E Dayton AveFresno, CA 93727-8937 · (559) 473-7943
Phone(323) 264-7796
Fax(323) 264-7778
Sole ProprietorNo
Enumeration DateJuly 21, 2022
NPPES CertifiedJuly 21, 2022
✔ NPI 1043945157 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95015651
3612 1/2 E 1ST ST, Los Angeles, CA 90063
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Other Names 1

Former Name (1)Maida Rivera

Other Providers at the Same Location NPPES 8

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

FRANK LUIS JIMENEZ PA-C
Physician Assistant
3612 1/2 E 1ST ST
LOS ANGELES, CA 90063
Los Angeles County (323) 264-7796
ERIKA LEPE PA-C
Physician Assistant
3612 1/2 E 1ST ST
LOS ANGELES, CA 90063
Los Angeles County (323) 264-7796
MARIAM CLARK NP
Nurse Practitioner (Family)
3612 1/2 E 1ST ST
LOS ANGELES, CA 90063
Los Angeles County (323) 264-7796
MR. CARLOS ISAAC VILLARREAL PA
Physician Assistant
3612 1/2 E 1ST ST
LOS ANGELES, CA 90063
Los Angeles County (323) 264-7796
BUNG JOO CHOI PA
Physician Assistant
3612 1/2 E 1ST ST
LOS ANGELES, CA 90063
Los Angeles County (404) 433-3737
GABRIEL J HALPERIN DPM
Podiatrist (Foot & Ankle Surgery)
3612 1/2 E 1ST ST
LOS ANGELES, CA 90063
Los Angeles County (323) 262-4146
LINQ MEDICAL SERVICES INC.
Internal Medicine (Critical Care Medicine)
3612 1/2 E 1ST ST
LOS ANGELES, CA 90063
Los Angeles County (323) 264-7796
ON-SITE PODIATRY SERVICES, INC.
Podiatrist (Foot & Ankle Surgery)
3612 1/2 E 1ST ST
LOS ANGELES, CA 90063
Los Angeles County (323) 262-4146

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 Maida Jackson's NPI number?

The NPI number for Maida Jackson is 1043945157. It was assigned to this individual provider in the NPPES registry on July 21, 2022. The provider is also known as Maida Rivera.

Where is Maida Jackson located?

Maida Jackson practices at 3612 1/2 E 1st St, Los Angeles, CA 90063. The listed phone number is (323) 264-7796.

What is Maida Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Maida Jackson was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.