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SYDNEY JACKSON PA-C
NPI 1235708777
Physician Assistant in Torrance, CA

Active since June 19, 2021PECOS Enrolled
1907 BORDER AVE, TORRANCE, CA 90501(844) 443-6246 Get Directions Write a Review

NPPES record last updated: January 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 13, 2026, Jun 19, 2021 (2 updates tracked since 2021).

About Sydney Jackson Pa-c NPPES

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

SYDNEY JACKSON PA-C (NPI 1235708777) is an individual physician assistant in Torrance, California and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in New York, and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (2021).

NPPES Registry Identity

NPI1235708777
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSYDNEY JACKSONCredential: PA-C
Location Address1907 BORDER AVETorrance, CA 90501-3606
Mailing Address3072 Rockbridge DrHighlands Ranch, CO 80129-2237 · (303) 501-5075
Phone(844) 443-6246
Sole ProprietorYes
Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 2021
Enumeration DateJune 19, 2021
Last NPPES UpdateJanuary 13, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 13, 2026
✔ NPI 1235708777 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1907 BORDER AVE, Torrance, CA 90501
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Secondary Practice Location 1

Location 135 W 35th StNew York, NY 10001-2205 · Phone (303) 501-5075

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sydney Jackson Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8628469798
PECOS Enrollment IDI20250813001993
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.

Areas of Expertise CMS Part B claims

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.

Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
13 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90501 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

PARDEEP K SHORI DO
Family Medicine
1907 BORDER AVE
TORRANCE, CA 90501
Los Angeles County (844) 443-6246
SHIRIN KOHANIM NP
Nurse Practitioner (Family)
1907 BORDER AVE
TORRANCE, CA 90501
Los Angeles County (844) 443-6246
DENISE ESCARIESES PA-C
Physician Assistant
1907 BORDER AVE
TORRANCE, CA 90501
Los Angeles County (844) 443-6246
KEITH BENTLEY
Physician Assistant
1907 BORDER AVE
TORRANCE, CA 90501
Los Angeles County (844) 443-6246
SIMY SIEMKHORN MORANO
Nurse Practitioner (Primary Care)
1907 BORDER AVE
TORRANCE, CA 90501
Los Angeles County (844) 443-6246
TASHARIAH ROBINSON PA-C
Physician Assistant
1907 BORDER AVE
TORRANCE, CA 90501
Los Angeles County (844) 443-6246
HUYEN THI MAI NGUYEN
Physician Assistant
1907 BORDER AVE
TORRANCE, CA 90501
Los Angeles County (844) 443-6246
IMEE DHIR FNP-C
Nurse Practitioner (Family)
1907 BORDER AVE
TORRANCE, CA 90501
Los Angeles County (844) 443-6246

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 Sydney Jackson's NPI number?

The NPI number for Sydney Jackson is 1235708777. It was assigned to this individual provider in the NPPES registry on June 19, 2021.

Where is Sydney Jackson located?

Sydney Jackson practices at 1907 Border Ave, Torrance, CA 90501. The listed phone number is (844) 443-6246.

What is Sydney Jackson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Sydney Jackson enrolled in Medicare?

Yes. Sydney Jackson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sydney Jackson was last updated on January 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.