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CHRISTOPHER MAZEDJIAN JACKSON
NPI 1346543139
Marriage & Family Therapist in Culver City, CA

Active since December 16, 2010PECOS Enrolled
4760 SEPULVEDA BLVD, CULVER CITY, CA 90230(310) 390-6612(310) 398-5690 Get Directions Write a Review

NPPES record last updated: October 16, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Christopher Mazedjian Jackson NPPES

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

CHRISTOPHER MAZEDJIAN JACKSON (NPI 1346543139) is an individual marriage & family therapist in Culver City, California and active in the NPI registry since December 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1346543139
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameCHRISTOPHER MAZEDJIAN JACKSON
Location Address4760 SEPULVEDA BLVDCulver City, CA 90230-4820
Mailing Address4760 Sepulveda BlvdCulver City, CA 90230-4820 · (310) 390-6612 · Fax (310) 398-5690
Phone(310) 390-6612
Fax(310) 398-5690
Sole ProprietorNo
Enumeration DateDecember 16, 2010
Last NPPES UpdateOctober 16, 2014
✔ NPI 1346543139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
4760 SEPULVEDA BLVD, Culver City, CA 90230
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Oregon.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Christopher Mazedjian Jackson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Christopher Jackson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Grow Healthcare Group PC
302 mi
Mental Health
99 S ALMADEN BLVD STE 600
San Jose, CA 95113
  • Reassigned Medicare billing, California enrollment
  • 3,139 clinicians in this Medicare group
NPI 1154994846 (408) 402-4385
Grow Healthcare Group PA
2,348 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Oregon enrollment
  • 285 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

VERONICA FUENTES
Case Manager/Care Coordinator
4760 SEPULVEDA BLVD
CULVER CITY, CA 90230
Los Angeles County (310) 390-6612
ANDREW R MILLER MFT
Marriage & Family Therapist
4760 SEPULVEDA BLVD
CULVER CITY, CA 90230
Los Angeles County (310) 390-6612
PAUL SMITH MSW, ACSW
Social Worker
4760 SEPULVEDA BLVD
CULVER CITY, CA 90230
Los Angeles County (310) 390-6612
CHELSEA DAWN GILBERT M.A.
Student in an Organized Health Care Education/Training Program
4760 SEPULVEDA BLVD
CULVER CITY, CA 90230
Los Angeles County (310) 751-5344
RASHAUNA FAIR
Case Manager/Care Coordinator
4760 SEPULVEDA BLVD
CULVER CITY, CA 90230
Los Angeles County (310) 390-6612
KIMBERLY OROZCO
Marriage & Family Therapist
4760 SEPULVEDA BLVD
CULVER CITY, CA 90230
Los Angeles County (310) 390-6612
ALFREDIA RAYNESHIA CHRISTOPHE
Day Training/Habilitation Specialist
4760 SEPULVEDA BLVD
CULVER CITY, CA 90230
Los Angeles County (310) 390-6612
JESSICA AYALA
Case Manager/Care Coordinator
4760 SEPULVEDA BLVD
CULVER CITY, CA 90230
Los Angeles County (310) 751-5470

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 Christopher Jackson's NPI number?

The NPI number for Christopher Jackson is 1346543139. It was assigned to this individual provider in the NPPES registry on December 16, 2010.

Where is Christopher Jackson located?

Christopher Jackson practices at 4760 Sepulveda Blvd, Culver City, CA 90230. The listed phone number is (310) 390-6612.

What is Christopher Jackson's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Christopher Jackson enrolled in Medicare?

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

Which organizations bill Medicare for Christopher Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Christopher Jackson reassigns Medicare benefits to 2 organizations: Grow Healthcare Group PC (San Jose, CA) and Grow Healthcare Group PA (Miami, FL). Each 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 Christopher Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Christopher Jackson accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon list Christopher Jackson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Christopher Jackson was last updated on October 16, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.