STEPHEN HARVEY JACKSON MD
NPI 1093730103
Anesthesiology in San Jose, CA

Q: What is Stephen Jackson's NPI number?

The NPI number for Stephen Jackson is 1093730103. It was assigned to this individual provider in the NPPES registry on July 12, 2006.

Q: What is Stephen Jackson's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Q: When was this NPI record last updated?

The NPPES record for Stephen Jackson was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 12, 2006PECOS Enrolled

2425 SAMARITAN DR, SAN JOSE, CA 95124(408) 558-2100 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Stephen Harvey Jackson Md NPPES

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

STEPHEN HARVEY JACKSON MD (NPI 1093730103) is an individual anesthesiology provider in San Jose, California, licensed in California (G12875) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093730103

Entity TypeIndividualMale

Primary Taxonomy207L00000X

Provider Legal NameSTEPHEN HARVEY JACKSONCredential: MD

Location Address2425 SAMARITAN DRSan Jose, CA 95124-3908

Mailing AddressPo Box 51451Los Angeles, CA 90051-5751

Phone(408) 558-2100

Sole ProprietorNo

Enumeration DateJuly 12, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1093730103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians

Taxonomy Code207L00000X

License✔ Licensed in CA · G12875

Definition

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

2425 SAMARITAN DR, San Jose, CA 95124

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Other Identifiers 3

Medicare UPINA38817

Medicaid00G128750CA

Medicare ID-Type Unspecified00G128750

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stephen Harvey Jackson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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