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EDGAR J JACKSON PA
NPI 1548386790
Physician Assistant in Baldwin Park, CA

Active since March 21, 2007
1011 BALDWIN PARK BLVD, BALDWIN PARK, CA 91706(626) 851-1011 Get Directions Write a Review

NPPES record last updated: September 23, 2008. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Edgar J Jackson Pa NPPES

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

EDGAR J JACKSON PA (NPI 1548386790) is an individual physician assistant in Baldwin Park, California, licensed in California (PA10556) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1548386790
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameEDGAR J JACKSONCredential: PA
Location Address1011 BALDWIN PARK BLVDBaldwin Park, CA 91706-5806
Mailing Address1011 Baldwin Park BlvdBaldwin Park, CA 91706-5806 · (626) 851-1011
Phone(626) 851-1011
Sole ProprietorNo
Enumeration DateMarch 21, 2007
Last NPPES UpdateSeptember 23, 2008
✔ NPI 1548386790 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 · PA10556
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.
1011 BALDWIN PARK BLVD, Baldwin Park, CA 91706
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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.

BRETT ALLEN PROVENCE D.O.
Hospitalist
1011 BALDWIN PARK BLVD, 4 EAST HOSPITALIST OFFICE
BALDWIN PARK, CA 91706
Los Angeles County (626) 851-1011
VERONICA CHIU TSANG RRT
Respiratory Therapist, Registered
1011 BALDWIN PARK BLVD
BALDWIN PARK, CA 91706
Los Angeles County (626) 851-7245
DANIEL CHU MD
Family Medicine
1011 BALDWIN PARK BLVD
BALDWIN PARK, CA 91706
Los Angeles County (833) 574-2273
JULIAN REED WOODS MD
Emergency Medicine
1011 BALDWIN PARK BLVD
BALDWIN PARK, CA 91706
Los Angeles County (626) 851-1011
HLA H. KYI MD
Pediatrics
1011 BALDWIN PARK BLVD
BALDWIN PARK, CA 91706
Los Angeles County (626) 851-1011
YU-CHIEN KUO MD
Family Medicine
1011 BALDWIN PARK BLVD
BALDWIN PARK, CA 91706
Los Angeles County (626) 851-1011
CHRISTINE YI-JING CHEN-HSU MD
Physical Medicine & Rehabilitation
1011 BALDWIN PARK BLVD
BALDWIN PARK, CA 91706
Los Angeles County (626) 851-1011
DAVID OREN DEWITT PA
Physician Assistant
1011 BALDWIN PARK BLVD
BALDWIN PARK, CA 91706
Los Angeles County (626) 851-1011

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 Edgar Jackson's NPI number?

The NPI number for Edgar Jackson is 1548386790. It was assigned to this individual provider in the NPPES registry on March 21, 2007.

Where is Edgar Jackson located?

Edgar Jackson practices at 1011 Baldwin Park Blvd, Baldwin Park, CA 91706. The listed phone number is (626) 851-1011.

What is Edgar Jackson's specialty?

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

When was this NPI record last updated?

The NPPES record for Edgar Jackson was last updated on September 23, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.