ROBERT WARREN JACKSON
NPI 1689471310
Nurse Practitioner in Tarzana, CA

Active since February 28, 2025
18370 BURBANK BLVD STE 204, TARZANA, CA 91356(818) 345-7792 Get Directions Write a Review

NPPES record last updated: February 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Robert Warren Jackson NPPES

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

ROBERT WARREN JACKSON (NPI 1689471310) is an individual nurse practitioner in Tarzana, California, licensed in California (95034064) and active in the NPI registry since February 2025.

NPPES Registry Identity

NPI1689471310
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameROBERT WARREN JACKSON
Location Address18370 BURBANK BLVD STE 204Tarzana, CA 91356-2851
Mailing Address1680 Country Club DrGlendale, CA 91208-2065
Sole ProprietorNo
Enumeration DateFebruary 28, 2025
NPPES CertifiedFebruary 28, 2025
NPI 1689471310 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in CA · 95034064
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
18370 BURBANK BLVD STE 204, Tarzana, CA 91356

Other Providers at the Same Location NPPES 4

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

Physician Assistant
18370 BURBANK BLVD STE 204
TARZANA, CA 91356
Nurse Practitioner (Family)
18370 BURBANK BLVD STE 204
TARZANA, CA 91356
Nurse Practitioner (Family)
18370 BURBANK BLVD STE 204
TARZANA, CA 91356
Nurse Practitioner (Pediatrics)
18370 BURBANK BLVD STE 204
TARZANA, CA 91356

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 Robert Jackson's NPI number?

The NPI number for Robert Jackson is 1689471310. It was assigned to this individual provider in the NPPES registry on February 28, 2025.

Where is Robert Jackson located?

Robert Jackson practices at 18370 Burbank Blvd Ste 204, Tarzana, CA 91356. The listed phone number is (818) 345-7792.

What is Robert Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Robert Jackson was last updated on February 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.