CHARLES W JACKSON MD INC
NPI 1851594006
General Practice in Huntington Beach, CA
About Charles W Jackson Md Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHARLES W JACKSON MD INC (NPI 1851594006) is a healthcare organization registered as a general practice in Huntington Beach, California and active in the NPI registry since June 2007. The organization lists Charles Jackson, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Charles W Jackson Md Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Charles W Jackson MD Inc, which bills Medicare for the services this clinician delivers.
Clinician (1)
Huntington Beach, CA 92647
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Charles W Jackson MD Inc's NPI number?
The NPI number for Charles W Jackson MD Inc is 1851594006. It was assigned to this organization in the NPPES registry on June 6, 2007.
Where is Charles W Jackson MD Inc located?
Charles W Jackson MD Inc is located at 17122 Beach Blvd Ste. 102, Huntington Beach, CA 92647. The listed phone number is (714) 847-6545.
What is Charles W Jackson MD Inc's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Charles W Jackson MD Inc enrolled in Medicare?
Yes. Charles W Jackson MD Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Charles W Jackson MD Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Charles W Jackson MD Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Charles W Jackson MD Inc was last updated on July 28, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Charles W Jackson Md Inc · NPI 1851594006
General Practice organization in Huntington Beach, California. Organization record, active in the CMS NPPES registry since June 6, 2007.
## Identity
- **NPI:** 1851594006 (Entity type: Organization)
- **Enumerated:** June 6, 2007
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **Organization subpart:** No
- **Authorized official:** Charles Jackson, PRESIDENT
## Practice location
- **Address:** 17122 BEACH BLVD, STE. 102, Huntington Beach, CA 92647-5992
- **Phone:** (714) 847-6545 · **Fax:** (714) 847-6547
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 28, 2010
- **Other identifiers:** Medicare PIN DF303A (CA); Medicare UPIN A46305 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1851594006) · Data from the CMS NPPES public registry.