MRS. DANIELLE LEENORA JACKSON PA-C
NPI 1770711459
Physician Assistant in Oakland, CA

Active since July 01, 2009PECOS EnrolledAccepts Medicare Assignment
1450 FRUITVALE AVE, OAKLAND, CA 94601(510) 535-4110 Get Directions Write a Review

NPPES record last updated: April 28, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Danielle Leenora Jackson Pa-c NPPES

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

MRS. DANIELLE LEENORA JACKSON PA-C (NPI 1770711459) is an individual physician assistant in Oakland, California, licensed in California (PA21525) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1770711459
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. DANIELLE LEENORA JACKSONCredential: PA-C
Location Address1450 FRUITVALE AVEOakland, CA 94601-2313
Mailing Address1450 Fruitvale AveOakland, CA 94601-2313 · (510) 535-4110
Sole ProprietorYes
Medical School CMSOtherGraduated 2008
Enumeration DateJuly 1, 2009
Last NPPES UpdateApril 28, 2026
NPPES CertifiedApril 28, 2026
NPI 1770711459 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 · PA21525
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.

1450 FRUITVALE AVE, Oakland, CA 94601

Other Names 1

Former Name (1)Ms. Danielle Leenora King Pa-c

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

Mrs. Danielle Leenora Jackson Pa-c 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 ID345394334
PECOS Enrollment IDI20120504000159
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94601 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

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

Dental Hygienist
1450 FRUITVALE AVE
OAKLAND, CA 94601
Social Worker (Clinical)
1450 FRUITVALE AVE
OAKLAND, CA 94601
Dentist
1450 FRUITVALE AVE
OAKLAND, CA 94601
Clinic/Center (Federally Qualified Health Center (FQHC))
1450 FRUITVALE AVE, 3RD FLOOR
OAKLAND, CA 94601
Social Worker (Clinical)
1450 FRUITVALE AVE
OAKLAND, CA 94601
Community Health Worker
1450 FRUITVALE AVE
OAKLAND, CA 94601
Family Medicine
1450 FRUITVALE AVE, 3RD FLOOR
OAKLAND, CA 94601
Community Health Worker
1450 FRUITVALE AVE
OAKLAND, CA 94601

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 Danielle Jackson's NPI number?

The NPI number for Danielle Jackson is 1770711459. It was assigned to this individual provider in the NPPES registry on July 1, 2009. The provider is also known as Ms. Danielle Leenora King Pa-C.

Where is Danielle Jackson located?

Danielle Jackson practices at 1450 Fruitvale Ave, Oakland, CA 94601. The listed phone number is (510) 535-4110.

What is Danielle Jackson's specialty?

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

Is Danielle Jackson enrolled in Medicare?

Yes. Danielle 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 Danielle Jackson was last updated on April 28, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.