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JACK PHILLIP JACKSON
NPI 1720715592
Case Manager/Care Coordinator in Long Beach, CA

Active since August 02, 2022
2025 E 7TH ST, LONG BEACH, CA 90804(562) 284-0108 Get Directions Write a Review

NPPES record last updated: August 2, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jack Phillip Jackson NPPES

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

JACK PHILLIP JACKSON (NPI 1720715592) is an individual case manager/care coordinator provider in Long Beach, California and active in the NPI registry since August 2022.

NPPES Registry Identity

NPI1720715592
Entity TypeIndividualMale
Primary Taxonomy171M00000X
Provider Legal NameJACK PHILLIP JACKSON
Location Address2025 E 7TH STLong Beach, CA 90804-4590
Mailing Address2025 E 7th StLong Beach, CA 90804-4590 · (562) 284-0108
Phone(562) 284-0108
Sole ProprietorNo
Enumeration DateAugust 2, 2022
NPPES CertifiedAugust 2, 2022
✔ NPI 1720715592 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.
2025 E 7TH ST, Long Beach, CA 90804
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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.

MR. EDWARD L MEZA
Case Manager/Care Coordinator
2025 E 7TH ST
LONG BEACH, CA 90804
Los Angeles County (562) 284-0108
GAI SWEENEY ASW
Case Manager/Care Coordinator
2025 E 7TH ST
LONG BEACH, CA 90804
Los Angeles County (562) 284-0108
KATE MARIA MORGAN
Community Health Worker
2025 E 7TH ST
LONG BEACH, CA 90804
Los Angeles County (562) 284-0108
HEATHER ANNE COMITO
Student in an Organized Health Care Education/Training Program
2025 E 7TH ST
LONG BEACH, CA 90804
Los Angeles County (562) 284-0108
ANNE DINH
Case Manager/Care Coordinator
2025 E 7TH ST
LONG BEACH, CA 90804
Los Angeles County (562) 284-0108
MR. WAYNE LAWRENCE MUNCHEL LCSW
Rehabilitation Practitioner
2025 E 7TH ST
LONG BEACH, CA 90804
Los Angeles County (562) 284-0108
MR. MAXIMILLIANO SAINZ PADILLA SR.
Case Manager/Care Coordinator
2025 E 7TH ST
LONG BEACH, CA 90804
Los Angeles County (562) 505-7057
PATRICIA VARGAS
Student in an Organized Health Care Education/Training Program
2025 E 7TH ST
LONG BEACH, CA 90804
Los Angeles County (562) 284-0108

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 Jack Jackson's NPI number?

The NPI number for Jack Jackson is 1720715592. It was assigned to this individual provider in the NPPES registry on August 2, 2022.

Where is Jack Jackson located?

Jack Jackson practices at 2025 E 7th St, Long Beach, CA 90804. The listed phone number is (562) 284-0108.

What is Jack 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 Jack Jackson was last updated on August 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.