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BRUCE JACKSON
NPI 1467711986
Case Manager/Care Coordinator in Los Angeles, CA

Active since May 04, 2012
5715 S BROADWAY, LOS ANGELES, CA 90037(323) 948-0444(323) 948-0443 Get Directions Write a Review

NPPES record last updated: May 4, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bruce Jackson NPPES

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

BRUCE JACKSON (NPI 1467711986) is an individual case manager/care coordinator provider in Los Angeles, California and active in the NPI registry since May 2012.

NPPES Registry Identity

NPI1467711986
Entity TypeIndividualMale
Primary Taxonomy171M00000X
Provider Legal NameBRUCE JACKSON
Location Address5715 S BROADWAYLos Angeles, CA 90037-4131
Mailing Address5715 S BroadwayLos Angeles, CA 90037-4131 · (323) 948-0444 · Fax (323) 948-0443
Phone(323) 948-0444
Fax(323) 948-0443
Sole ProprietorYes
Enumeration DateMay 4, 2012
✔ NPI 1467711986 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
5715 S BROADWAY, Los Angeles, CA 90037
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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.

ANGEL LU
Student in an Organized Health Care Education/Training Program
5715 S BROADWAY
LOS ANGELES, CA 90037
Los Angeles County (323) 948-0444
LATONIUS WHITE
Counselor (Addiction (Substance Use Disorder))
5715 S BROADWAY
LOS ANGELES, CA 90037
Los Angeles County (323) 948-0444
PATRICK HILL
Counselor (Addiction (Substance Use Disorder))
5715 S BROADWAY
LOS ANGELES, CA 90037
Los Angeles County (310) 462-8944
DR. MELVIN ROBERT REED JR.
Counselor (Addiction (Substance Use Disorder))
5715 S BROADWAY
LOS ANGELES, CA 90037
Los Angeles County (213) 549-3766
BRENDA LIZETH LANESTOZA NAVARRO
Community Health Worker
5715 S BROADWAY
LOS ANGELES, CA 90037
Los Angeles County (323) 948-0444
KELLI DAVIS
Counselor (Mental Health)
5715 S BROADWAY
LOS ANGELES, CA 90037
Los Angeles County (323) 948-0444
KENON J JOSEPH
Community Health Worker
5715 S BROADWAY
LOS ANGELES, CA 90037
Los Angeles County (213) 435-4602
KYLE DAVIS
Case Manager/Care Coordinator
5715 S BROADWAY
LOS ANGELES, CA 90037
Los Angeles County (424) 408-5800

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 Bruce Jackson's NPI number?

The NPI number for Bruce Jackson is 1467711986. It was assigned to this individual provider in the NPPES registry on May 4, 2012.

Where is Bruce Jackson located?

Bruce Jackson practices at 5715 S Broadway, Los Angeles, CA 90037. The listed phone number is (323) 948-0444.

What is Bruce Jackson's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Bruce Jackson was last updated on May 4, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.