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CHARLES W JACKSON MD INC
NPI 1851594006
General Practice in Huntington Beach, CA

Active since June 06, 2007
17122 BEACH BLVD, STE. 102, HUNTINGTON BEACH, CA 92647(714) 847-6545(714) 847-6547 Get Directions Write a Review

NPPES record last updated: July 28, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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

NPI1851594006
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameCHARLES W JACKSON MD INC
Location Address17122 BEACH BLVD, STE. 102Huntington Beach, CA 92647-5992
Mailing AddressPo Box 7630Laguna Niguel, CA 92607-7630 · (949) 643-3345 · Fax (949) 643-3560
Phone(714) 847-6545
Fax(714) 847-6547
Organization SubpartNo
Authorized OfficialCharles JacksonPresident · (714) 847-6545
Enumeration DateJune 6, 2007
Last NPPES UpdateJuly 28, 2010
✔ NPI 1851594006 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in CA · G35311
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
17122 BEACH BLVD, Huntington Beach, CA 92647
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Other Identifiers 2

Medicare PINDF303ACA
Medicare UPINA46305CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

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

DR. CHARLES WILLIAM JACKSON M.D.
General Practice
17122 BEACH BLVD, SUITE 102
HUNTINGTON BEACH, CA 92647
Orange County (714) 847-6545
RUBICELI HERNANDEZ NURSE PRACTITIONER
Nurse Practitioner (Family)
17122 BEACH BLVD, SUITE 102
HUNTINGTON BEACH, CA 92647
Orange County (714) 847-6545
LISA HA PT
Physical Therapist
17122 BEACH BLVD, SUITE 101
HUNTINGTON BEACH, CA 92647
Orange County (714) 848-7191
NEW LIFE REHABILITATION, INC.
Physical Therapist
17122 BEACH BLVD, STE 101
HUNTINGTON BEACH, CA 92647
Orange County (714) 848-7191
KARA CHELO PT, DPT
Physical Therapist
17122 BEACH BLVD, #101
HUNTINGTON BEACH, CA 92647
Orange County (714) 848-7191
TERRY M. IMAGAWA, D.D.S., INC.
Dentist (General Practice)
17122 BEACH BLVD, SUITE 201
HUNTINGTON BEACH, CA 92647
Orange County (714) 847-2569
MRS. ANDREA LOUISE YOU M.S., P.T.
Physical Therapist
17122 BEACH BLVD, SUITE 101
HUNTINGTON BEACH, CA 92647
Orange County (714) 848-7191

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.

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.