MR. JASON ROBERT JACKSON-LANDAU
NPI 1114717063
Student in an Organized Health Care Education/Training Program in Los Angeles, CA

Active since May 12, 2025
8831 VENICE BLVD, LOS ANGELES, CA 90034(310) 204-5200 Get Directions Write a Review

NPPES record last updated: May 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Jason Robert Jackson-landau NPPES

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

MR. JASON ROBERT JACKSON-LANDAU (NPI 1114717063) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since May 2025.

NPPES Registry Identity

NPI1114717063
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. JASON ROBERT JACKSON-LANDAU
Location Address8831 VENICE BLVDLos Angeles, CA 90034-3223
Mailing Address2739 Woodstock RdLos Angeles, CA 90046-1118 · (323) 839-9685
Sole ProprietorYes
Enumeration DateMay 12, 2025
NPPES CertifiedMay 12, 2025
NPI 1114717063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
8831 VENICE BLVD, Los Angeles, CA 90034

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.

Counselor (Addiction (Substance Use Disorder))
8831 VENICE BLVD
LOS ANGELES, CA 90034
Counselor (Addiction (Substance Use Disorder))
8831 VENICE BLVD
LOS ANGELES, CA 90034
Marriage & Family Therapist
8831 VENICE BLVD
LOS ANGELES, CA 90034
Counselor (Addiction (Substance Use Disorder))
8831 VENICE BLVD
LOS ANGELES, CA 90034
Counselor (Addiction (Substance Use Disorder))
8831 VENICE BLVD
LOS ANGELES, CA 90034
Counselor (Addiction (Substance Use Disorder))
8831 VENICE BLVD
LOS ANGELES, CA 90034
Student in an Organized Health Care Education/Training Program
8831 VENICE BLVD
LOS ANGELES, CA 90034
Counselor (Addiction (Substance Use Disorder))
8831 VENICE BLVD
LOS ANGELES, CA 90034

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 Jason Jackson-landau's NPI number?

The NPI number for Jason Jackson-landau is 1114717063. It was assigned to this individual provider in the NPPES registry on May 12, 2025.

Where is Jason Jackson-landau located?

Jason Jackson-landau practices at 8831 Venice Blvd, Los Angeles, CA 90034. The listed phone number is (310) 204-5200.

What is Jason Jackson-landau's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jason Jackson-landau was last updated on May 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.