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DR. TAIJUANA JACKSON M.D., M.S.
NPI 1689930844
Student in an Organized Health Care Education/Training Program in Sacramento, CA

Active since April 02, 2012PECOS EnrolledAccepts Medicare Assignment
4150 V ST, #1110, SACRAMENTO, CA 95817(916) 734-2737 Get Directions Write a Review

NPPES record last updated: February 11, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Taijuana Jackson M.d., M.s. NPPES

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

DR. TAIJUANA JACKSON M.D., M.S. (NPI 1689930844) is an individual student in an organized health care education/training program in Sacramento, California and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS and is a graduate of Albert Einstein College Of Medicine Of Yeshiva University (2012).

NPPES Registry Identity

NPI1689930844
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. TAIJUANA JACKSONCredential: M.D., M.S.
Location Address4150 V ST, #1110Sacramento, CA 95817-1460
Mailing Address4150 V St, #1110Sacramento, CA 95817-1460 · (916) 734-2737
Phone(916) 734-2737
Sole ProprietorYes
Medical School CMSAlbert Einstein College Of Medicine Of Yeshiva UniversityGraduated 2012
Enumeration DateApril 2, 2012
Last NPPES UpdateFebruary 11, 2022
✔ NPI 1689930844 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

4150 V ST, Sacramento, CA 95817
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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

Dr. Taijuana Jackson M.d., M.s. 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 ID7113221607
PECOS Enrollment IDI20160203001367
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.

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.

DR. MARK MITSUYUKI MORIWAKI M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
4150 V ST, SUITE G400
SACRAMENTO, CA 95817
Sacramento County (916) 734-3730
PETER ERIK SOKOLOVE M.D.
Emergency Medicine
4150 V ST, UCDMC EMERGENCY MEDICINE, PSSB 2100
SACRAMENTO, CA 95817
Sacramento County (916) 734-1534
DR. ANDREW I-WEI CHIN MD
Internal Medicine (Nephrology)
4150 V ST, SUITE 3500
SACRAMENTO, CA 95817
Sacramento County (916) 734-3774
DR. AMAN KIRIT PARIKH M.D.
Emergency Medicine
4150 V ST, SUITE 2100
SACRAMENTO, CA 95817
Sacramento County (916) 734-8583
PROF. TIMOTHY JOHN TAUTZ M.D.
Anesthesiology
4150 V ST, PSSB SUITE #1200
SACRAMENTO, CA 95817
Sacramento County (916) 735-2874
DAVID ALLAN WHITE M.D.
Anesthesiology
4150 V ST, 1200 PSSB UCDMC
SACRAMENTO, CA 95817
Sacramento County (916) 734-7985
DR. JOSEPH W LEUNG M.D.
Internal Medicine (Gastroenterology)
4150 V ST, SUITE 3500, PSSB
SACRAMENTO, CA 95817
Sacramento County (916) 734-7224
DR. RICHARD MICHAEL RIVERA M.D.
Anesthesiology
4150 V ST, PSSB SUITE 1200
SACRAMENTO, CA 95817
Sacramento County (916) 734-7985

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 Taijuana Jackson's NPI number?

The NPI number for Taijuana Jackson is 1689930844. It was assigned to this individual provider in the NPPES registry on April 2, 2012.

Where is Taijuana Jackson located?

Taijuana Jackson practices at 4150 V St #1110, Sacramento, CA 95817. The listed phone number is (916) 734-2737.

What is Taijuana Jackson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Taijuana Jackson enrolled in Medicare?

Yes. Taijuana 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 Taijuana Jackson was last updated on February 11, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.