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SEAN JACKSON
NPI 1861059784
Physician Assistant in Corona, CA

Active since May 27, 2019PECOS Enrolled
341 MAGNOLIA AVE STE 101, CORONA, CA 92879(951) 735-6060 Get Directions Write a Review

NPPES record last updated: December 23, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 23, 2021, Nov 29, 2020, May 27, 2019 (3 updates tracked since 2019).

About Sean Jackson NPPES

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

SEAN JACKSON (NPI 1861059784) is an individual physician assistant in Corona, California and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861059784
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameSEAN JACKSON
Location Address341 MAGNOLIA AVE STE 101Corona, CA 92879-3331
Mailing Address341 Magnolia Ave Ste 101Corona, CA 92879-3331 · (951) 735-6060
Phone(951) 735-6060
Sole ProprietorYes
Enumeration DateMay 27, 2019
Last NPPES UpdateDecember 23, 20213 updates tracked since enumeration
NPPES CertifiedDecember 23, 2021
✔ NPI 1861059784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
341 MAGNOLIA AVE STE 101, Corona, CA 92879
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Other Identifiers 1

Other1861059784CA · Npi

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sean Jackson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 92879 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
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 14

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

DR. GORDON GAR KWONG YEE MD
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
341 MAGNOLIA AVE STE 101
CORONA, CA 92879
Riverside County (951) 256-8820
ELI T SAYEGH MD
Orthopaedic Surgery (Sports Medicine)
341 MAGNOLIA AVE STE 101
CORONA, CA 92879
Riverside County (951) 735-6060
MISS KIMBERLEE ELIZABETH HUTCHINS PHYSICAL THERAPIST
Physical Therapist
341 MAGNOLIA AVE STE 101
CORONA, CA 92879
Riverside County (951) 735-6060
KEVIN FRYER
Physician Assistant
341 MAGNOLIA AVE STE 101
CORONA, CA 92879
Riverside County (951) 735-6060
FOOTHILLS SPINE SURGERY
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
341 MAGNOLIA AVE STE 101
CORONA, CA 92879
Riverside County (951) 256-8820
SWATI MISTRY DPT
Physical Therapist
341 MAGNOLIA AVE STE 101
CORONA, CA 92879
Riverside County (951) 735-6060
REZA ROGHANI M.D.
Orthopaedic Surgery
341 MAGNOLIA AVE STE 101
CORONA, CA 92879
Riverside County (951) 735-6060
SEDONA E BOCCARDO
Physician Assistant
341 MAGNOLIA AVE STE 101
CORONA, CA 92879
Riverside County (951) 735-6060

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 Sean Jackson's NPI number?

The NPI number for Sean Jackson is 1861059784. It was assigned to this individual provider in the NPPES registry on May 27, 2019.

Where is Sean Jackson located?

Sean Jackson practices at 341 Magnolia Ave Ste 101, Corona, CA 92879. The listed phone number is (951) 735-6060.

What is Sean Jackson's specialty?

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

Is Sean Jackson enrolled in Medicare?

Yes. Sean Jackson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sean Jackson was last updated on December 23, 2021. 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.