CAMILLE JACKSON M.D.
NPI 1134574528
Surgery - Vascular Surgery in Oakland, CA
About Camille Jackson M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CAMILLE JACKSON M.D. (NPI 1134574528) is an individual vascular surgery provider in Oakland, California, licensed in California (A156408) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS and is a graduate of Meharry Medical College School Of Medicine (2016).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Camille Jackson M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Camille Jackson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Oakland, CA 94602
- Reassigned Medicare billing, California enrollment
- 900 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 4
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 94602 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
OAKLAND, CA 94602
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 Camille Jackson's NPI number?
The NPI number for Camille Jackson is 1134574528. It was assigned to this individual provider in the NPPES registry on May 4, 2016.
Where is Camille Jackson located?
Camille Jackson practices at 1411 E 31st St Department Of Surgery, Oakland, CA 94602. The listed phone number is (510) 437-4965.
What is Camille Jackson's specialty?
The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.
Is Camille Jackson enrolled in Medicare?
Yes. Camille Jackson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Camille Jackson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Camille Jackson reassigns Medicare benefits to Alameda Health System (Oakland, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Camille Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Camille Jackson was last updated on October 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Camille Jackson, M.D. · NPI 1134574528
Vascular Surgery physician in Oakland, California. Individual provider, active in the CMS NPPES registry since May 4, 2016.
## Identity
- **NPI:** 1134574528 (Entity type: Individual)
- **Enumerated:** May 4, 2016
- **Primary specialty:** Surgery - Vascular Surgery · taxonomy 2086S0129X
- **State license:** A156408 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1411 E 31ST ST, DEPARTMENT OF SURGERY, Oakland, CA 94602-1018
- **Phone:** (510) 437-4965
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Alameda Health System (NPI 1740332931, Oakland, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Meharry Medical College School Of Medicine, class of 2016
## Record status
- **NPPES last updated:** October 2, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1134574528) · Data from the CMS NPPES public registry.