MARTHA Y BRANTLEY-JACKSON
NPI 1396302261
Preferred Provider Organization in Moreno Valley, CA

Active since May 24, 2019
25400 ALESSANDRO BLVD STE 101, MORENO VALLEY, CA 92553(951) 570-0043 Get Directions Write a Review

NPPES record last updated: May 24, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Martha Y Brantley-jackson NPPES

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

MARTHA Y BRANTLEY-JACKSON (NPI 1396302261) is an individual preferred provider organization provider in Moreno Valley, California and active in the NPI registry since May 2019.

NPPES Registry Identity

NPI1396302261
Entity TypeIndividualFemale
Primary Taxonomy305R00000X
Provider Legal NameMARTHA Y BRANTLEY-JACKSON
Location Address25400 ALESSANDRO BLVD STE 101Moreno Valley, CA 92553-4319
Mailing Address25400 Alessandro Blvd Ste 101Moreno Valley, CA 92553-4319 · (951) 570-0043
Sole ProprietorYes
Enumeration DateMay 24, 2019
NPI 1396302261 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPreferred Provider OrganizationManaged Care Organizations
Taxonomy Code305R00000X
Definition
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
25400 ALESSANDRO BLVD STE 101, Moreno Valley, CA 92553

Other Providers at the Same Location NPPES 3

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

Health Maintenance Organization
25400 ALESSANDRO BLVD STE 101
MORENO VALLEY, CA 92553
Health Maintenance Organization
25400 ALESSANDRO BLVD STE 101
MORENO VALLEY, CA 92553
Health Educator
25400 ALESSANDRO BLVD STE 101
MORENO VALLEY, CA 92553

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 Martha Brantley-jackson's NPI number?

The NPI number for Martha Brantley-jackson is 1396302261. It was assigned to this individual provider in the NPPES registry on May 24, 2019.

Where is Martha Brantley-jackson located?

Martha Brantley-jackson practices at 25400 Alessandro Blvd Ste 101, Moreno Valley, CA 92553. The listed phone number is (951) 570-0043.

What is Martha Brantley-jackson's specialty?

The primary specialty registered for this NPI is Preferred Provider Organization with taxonomy code 305R00000X.

When was this NPI record last updated?

The NPPES record for Martha Brantley-jackson was last updated on May 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.