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MR. JEFFREY MICHAEL JACKSON
NPI 1871393223
Student in an Organized Health Care Education/Training Program in Gardena, CA

Active since March 14, 2025
108 W VICTORIA ST, GARDENA, CA 90248(310) 715-2020 Get Directions Write a Review

NPPES record last updated: March 16, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Jeffrey Michael Jackson NPPES

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

MR. JEFFREY MICHAEL JACKSON (NPI 1871393223) is an individual student in an organized health care education/training program in Gardena, California and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1871393223
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. JEFFREY MICHAEL JACKSON
Location Address108 W VICTORIA STGardena, CA 90248-3523
Mailing Address108 W Victoria StGardena, CA 90248-3523 · (310) 715-2020
Phone(310) 715-2020
Sole ProprietorNo
Enumeration DateMarch 14, 2025
Last NPPES UpdateMarch 16, 2025
NPPES CertifiedMarch 16, 2025
✔ NPI 1871393223 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
108 W VICTORIA ST, Gardena, CA 90248
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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.

GERARDO GOMEZ
Rehabilitation Practitioner
108 W VICTORIA ST
GARDENA, CA 90248
Los Angeles County (310) 715-2020
VANESSA AVILA
Rehabilitation Practitioner
108 W VICTORIA ST
GARDENA, CA 90248
Los Angeles County (310) 715-2020
JUSTIN A PARNELL
Occupational Therapist
108 W VICTORIA ST
GARDENA, CA 90248
Los Angeles County (310) 715-2020
AMBER KAI PARKER RBT
Rehabilitation Practitioner
108 W VICTORIA ST
GARDENA, CA 90248
Los Angeles County (310) 715-2020
ELISA ANGELINE WRIGHT ADAMS
Student in an Organized Health Care Education/Training Program
108 W VICTORIA ST
GARDENA, CA 90248
Los Angeles County (310) 715-2020
MR. JOSE D, FERNANDEZ
Rehabilitation Practitioner
108 W VICTORIA ST
GARDENA, CA 90248
Los Angeles County (310) 715-2020
MRS. IVA SVETLIKOVA M.S. MFT
Marriage & Family Therapist
108 W VICTORIA ST
GARDENA, CA 90248
Los Angeles County (310) 715-2020
MRS. SAYO MATSUDA
Marriage & Family Therapist
108 W VICTORIA ST
GARDENA, CA 90248
Los Angeles County (424) 757-4226

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 Jeffrey Jackson's NPI number?

The NPI number for Jeffrey Jackson is 1871393223. It was assigned to this individual provider in the NPPES registry on March 14, 2025.

Where is Jeffrey Jackson located?

Jeffrey Jackson practices at 108 W Victoria St, Gardena, CA 90248. The listed phone number is (310) 715-2020.

What is Jeffrey Jackson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jeffrey Jackson was last updated on March 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.