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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MR. FAISON JACKSON
NPI 1366132813
Physician Assistant in Los Angeles, CA

Active since May 09, 2023PECOS EnrolledAccepts Medicare Assignment
269 S SAN PEDRO ST, LOS ANGELES, CA 90012(213) 947-3600 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 13, 2026, Oct 3, 2024, Sep 5, 2024 and 1 more (4 updates tracked since 2023).

About Mr. Faison Jackson NPPES

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

MR. FAISON JACKSON (NPI 1366132813) is an individual physician assistant in Los Angeles, California, licensed in California (PA64805) and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1366132813
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. FAISON JACKSON
Location Address269 S SAN PEDRO STLos Angeles, CA 90012-3808
Mailing Address269 S San Pedro StLos Angeles, CA 90012-3808 · (213) 947-3600
Phone(213) 947-3600
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateMay 9, 2023
Last NPPES UpdateJuly 13, 20264 updates tracked since enumeration
NPPES CertifiedJuly 13, 2026
✔ NPI 1366132813 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · PA64805
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.
269 S SAN PEDRO ST, Los Angeles, CA 90012
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Faison Jackson 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.

PECOS PAC ID1153862743
PECOS Enrollment IDI20240923003732
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90012 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 2

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

DOWNTOWN URGENT CARE
Clinic/Center (Urgent Care)
269 S SAN PEDRO ST
LOS ANGELES, CA 90012
Los Angeles County (213) 947-3600
MR. ANGELO ARMANI SMITH PA-C
Physician Assistant (Medical)
269 S SAN PEDRO ST
LOS ANGELES, CA 90012
Los Angeles County (213) 947-3600

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 Faison Jackson's NPI number?

The NPI number for Faison Jackson is 1366132813. It was assigned to this individual provider in the NPPES registry on May 9, 2023.

Where is Faison Jackson located?

Faison Jackson practices at 269 S San Pedro St, Los Angeles, CA 90012. The listed phone number is (213) 947-3600.

What is Faison Jackson's specialty?

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

Is Faison Jackson enrolled in Medicare?

Yes. Faison 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.

When was this NPI record last updated?

The NPPES record for Faison Jackson was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 37 days 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.