JEREMY LAZATIN JACKSON MD
NPI 1780262246
Family Medicine in Union City, CA
About Jeremy Lazatin Jackson Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JEREMY LAZATIN JACKSON MD (NPI 1780262246) is an individual family medicine provider in Union City, California, licensed in California (194062) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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
Jeremy Lazatin Jackson Md 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 94587 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
UNION CITY, CA 94587
UNION CITY, CA 94587
UNION CITY, CA 94587
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 Jeremy Jackson's NPI number?
The NPI number for Jeremy Jackson is 1780262246. It was assigned to this individual provider in the NPPES registry on March 29, 2021. The provider is also known as Jeremy Alvarado Lazatin MD.
Where is Jeremy Jackson located?
Jeremy Jackson practices at 3555 Whipple Rd, Union City, CA 94587. The listed phone number is (510) 675-4010.
What is Jeremy Jackson's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Jeremy Jackson enrolled in Medicare?
Yes. Jeremy 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 Jeremy Jackson was last updated on August 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Jeremy Lazatin Jackson, MD · NPI 1780262246
Family Medicine physician in Union City, California. Individual provider, active in the CMS NPPES registry since March 29, 2021.
## Identity
- **NPI:** 1780262246 (Entity type: Individual)
- **Enumerated:** March 29, 2021
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 194062 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 3555 WHIPPLE RD, Union City, CA 94587-1507
- **Phone:** (510) 675-4010
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** August 13, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1780262246) · Data from the CMS NPPES public registry.