CAROL JACKSON CRNA
NPI 1104993963
Nurse Anesthetist, Certified Registered in Los Angeles, CA
NPI Status: Active since November 29, 2006
Contact Information
4760 W SUNSET BLVD
LOS ANGELES, CA
ZIP 90027
Phone: (323) 783-4011
- Individual
- Female
- Nurse Anesthetist, Certified Registered
About CAROL JACKSON
This page provides the complete NPI Profile along with additional information for Carol Jackson, a provider established in Los Angeles, California with a medical specialization in Nurse Anesthetist, Certified Registered. The healthcare provider is registered in the NPI registry with number 1104993963 assigned on November 2006. The practitioner's primary taxonomy code is 367500000X with license number NA359 (CA). The provider is registered as an individual and her NPI record was last updated 18 years ago.
- NPI
- 1104993963
- Provider Name
- CAROL JACKSON CRNA
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 4760 W SUNSET BLVD LOS ANGELES, CA 90027
- Location Phone
- (323) 783-4011
- Mailing Address
- 393 E WALNUT ST 3RD FLOOR PHR SYSTEMS PASADENA, CA 91188
- Mailing Phone
- (000) 000-0000
- Mailing Fax
- Is Sole Proprietor?
- No
- Enumeration Date
- 11-29-2006
- Last Update Date
- 11-29-2007
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Anesthetist, Certified Registered
- Taxonomy Code
- 367500000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- NA359
- License State
- CA
- Taxonomy Description
- (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| ASSIGNED | MEDICARE UPIN (02) |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 0 | 4 | 9 | 9 | 3 | 9 | 6 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 0 | 4 | 18 | 9 | 6 | 9 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 0 + 4 + 1 + 8 + 9 + 6 + 9 + 1 + 2 + 24 = 67 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 67 = 3 | 3 | ||||||||
The NPI number 1104993963 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
JEFFREY S. SELEVAN MD
Emergency Medicine
4760 W SUNSET BLVD
LOS ANGELES, CA
ZIP 90027
SHAHID H KHAN MD
Internal Medicine
(Cardiovascular Disease)
4760 W SUNSET BLVD
LOS ANGELES, CA
ZIP 90027
JOEL D. HYATT MD
Family Medicine
4760 W SUNSET BLVD
LOS ANGELES, CA
ZIP 90027
STUART B. ORENSTEIN MD
Psychiatry & Neurology
(Psychiatry)
4760 W SUNSET BLVD
LOS ANGELES, CA
ZIP 90027
MARTIN N. GILBERT MD
Pediatrics
(Pediatric Gastroenterology)
4760 W SUNSET BLVD
LOS ANGELES, CA
ZIP 90027
PETER M. FALK MD
Transplant Surgery
4760 W SUNSET BLVD
LOS ANGELES, CA
ZIP 90027
NANCY A. SHINNO MD
Medical Genetics
(Clinical Genetics (M.D.))
4760 W SUNSET BLVD
LOS ANGELES, CA
ZIP 90027
RALPH J. DI LIBERO MD
Neuromusculoskeletal Medicine & OMM
4760 W SUNSET BLVD
LOS ANGELES, CA
ZIP 90027
MICHAEL H. KANTER MD
Pathology
(Blood Banking & Transfusion Medicine)
4760 W SUNSET BLVD
LOS ANGELES, CA
ZIP 90027
IRA H. TILLES MD
Emergency Medicine
4760 W SUNSET BLVD
LOS ANGELES, CA
ZIP 90027
JEREMY J PORCHE CRNA
Nurse Anesthetist, Certified Registered
4760 W SUNSET BLVD
LOS ANGELES, CA
ZIP 90027
MARY L. WILSON MD
Pediatrics
(Neonatal-Perinatal Medicine)
4760 W SUNSET BLVD
LOS ANGELES, CA
ZIP 90027
ADITYA AMBEGAONKAR MD
Internal Medicine
(Cardiovascular Disease)
4760 W SUNSET BLVD
LOS ANGELES, CA
ZIP 90027
MEHDI JAMEHDOR MD
Medical Genetics
(Clinical Cytogenetics)
4760 W SUNSET BLVD
LOS ANGELES, CA
ZIP 90027
VIRGINIA HOYLE PHARM.D.
Pharmacist
4760 W SUNSET BLVD
LOS ANGELES, CA
ZIP 90027
JOHN E. MATTISON MD
Internal Medicine
4760 W SUNSET BLVD
LOS ANGELES, CA
ZIP 90027
KATHRYN I. MITTS MD
Emergency Medicine
4760 W SUNSET BLVD
LOS ANGELES, CA
ZIP 90027
JAMES DE FONTES III MD
Anesthesiology
4760 W SUNSET BLVD
LOS ANGELES, CA
ZIP 90027
GLORIA PATRICIA CERDA MD
Family Medicine
4760 W SUNSET BLVD
LOS ANGELES, CA
ZIP 90027
PETER W. CROOKS MD
Internal Medicine
(Nephrology)
4760 W SUNSET BLVD
LOS ANGELES, CA
ZIP 90027
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104993963, enumerated as an "individual" on November 29, 2006.
The provider is located at 4760 W SUNSET BLVD LOS ANGELES, CA 90027 and the phone number is (323) 783-4011.
Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
