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CAROL JACKSON CRNA
NPI 1104993963
Nurse Anesthetist, Certified Registered in Los Angeles, CA

Active since November 29, 2006
4760 W SUNSET BLVD, LOS ANGELES, CA 90027(323) 783-4011 Get Directions Write a Review

NPPES record last updated: November 29, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Carol Jackson Crna NPPES

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

CAROL JACKSON CRNA (NPI 1104993963) is an individual nurse anesthetist, certified registered in Los Angeles, California, licensed in California (NA359) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1104993963
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameCAROL JACKSONCredential: CRNA
Location Address4760 W SUNSET BLVDLos Angeles, CA 90027-6063
Mailing Address393 E Walnut St, 3rd Floor Phr SystemsPasadena, CA 91188-0001 · (000) 000-0000 · Fax (000) 000-0000
Phone(323) 783-4011
Sole ProprietorNo
Enumeration DateNovember 29, 2006
Last NPPES UpdateNovember 29, 2007
✔ NPI 1104993963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in CA · NA359
Definition
(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.
4760 W SUNSET BLVD, Los Angeles, CA 90027
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Other Identifiers 1

Medicare UPINASSIGNED

Other Providers at the Same Location NPPES 20

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

SOMJOT S. BRAR MD
Internal Medicine (Cardiovascular Disease)
4760 W SUNSET BLVD
LOS ANGELES, CA 90027
Los Angeles County (323) 783-4011
DR. BROOKE VUONG M.D.
Student in an Organized Health Care Education/Training Program
4760 W SUNSET BLVD, 3RD FLOOR
LOS ANGELES, CA 90027
Los Angeles County (323) 783-1737
KARIN W HOLMES PSW
Social Worker (Clinical)
4760 W SUNSET BLVD
LOS ANGELES, CA 90027
Los Angeles County (323) 783-4011
DR. SHANT SHEKHERDIMIAN MD
Surgery
4760 W SUNSET BLVD, 3RD FLOOR
LOS ANGELES, CA 90027
Los Angeles County (323) 783-1737
SHIRIN KAZEMI
Physician Assistant (Surgical)
4760 W SUNSET BLVD
LOS ANGELES, CA 90027
Los Angeles County (800) 954-8000
DR. DAMIEN CRAIG RODGER MD, PHD
Ophthalmology
4760 W SUNSET BLVD
LOS ANGELES, CA 90027
Los Angeles County (323) 783-4011
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
Health Maintenance Organization
4760 W SUNSET BLVD
LOS ANGELES, CA 90027
Los Angeles County (323) 783-4011
KENNETH NISBET MD
Emergency Medicine
4760 W SUNSET BLVD
LOS ANGELES, CA 90027
Los Angeles County (323) 783-4011

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 Carol Jackson's NPI number?

The NPI number for Carol Jackson is 1104993963. It was assigned to this individual provider in the NPPES registry on November 29, 2006.

Where is Carol Jackson located?

Carol Jackson practices at 4760 W Sunset Blvd, Los Angeles, CA 90027. The listed phone number is (323) 783-4011.

What is Carol Jackson's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

When was this NPI record last updated?

The NPPES record for Carol Jackson was last updated on November 29, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.