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JACKSON MEDICAL GROUP INC
NPI 1891711289
Family Medicine in Santa Barbara, CA

Active since July 15, 2006CLIA Certified · 2 labs
517 W JUNIPERO ST, SANTA BARBARA, CA 93105(805) 682-8844(805) 682-4735 Get Directions Write a Review

NPPES record last updated: January 17, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jackson Medical Group Inc NPPES

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

JACKSON MEDICAL GROUP INC (NPI 1891711289) is a healthcare organization registered as a family medicine in Santa Barbara, California and active in the NPI registry since July 2006. The organization holds 2 active CLIA laboratory certificates and lists Karen M Engberg, President, as its authorized official.

NPPES Registry Identity

NPI1891711289
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameJACKSON & ENGBERG MEDICAL CORPORATION
Location Address517 W JUNIPERO STSanta Barbara, CA 93105-4239
Mailing Address517 W Junipero StSanta Barbara, CA 93105-4239 · (805) 682-8844 · Fax (805) 682-4735
Phone(805) 682-8844
Fax(805) 682-4735
Organization SubpartNo
Authorized OfficialKaren M EngbergPresident · (805) 682-8844
Enumeration DateJuly 15, 2006
Last NPPES UpdateJanuary 17, 2014
✔ NPI 1891711289 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedInternal MedicineTaxonomy 207R00000X
517 W JUNIPERO ST, Santa Barbara, CA 93105
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Other Names 1

Doing Business AsJackson Medical Group Inc

Other Identifiers 2

Medicare PINW15885CA
Other1891711289CA · Npi

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Jackson Medical Group Inc, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Blanca Fernandez-Kline, MD
Family Practice
NPI 1679653927
319 N MILPAS ST
Santa Barbara, CA 93103
(805) 965-3011
✔ PECOS✔ Accepts Medicare2.4 mi
Douglas Cummings, M.D.
Family Practice
NPI 1407876774
5333 HOLLISTER AVE STE 110
Santa Barbara, CA 93111
(805) 683-0055
✔ PECOS✔ Accepts Medicare4.8 mi
Shaun Ehsani, MD
Family Practice
NPI 1306040712
5333 HOLLISTER AVE STE 110
Santa Barbara, CA 93111
(805) 683-0055
✔ PECOS✔ Accepts Medicare4.8 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2069762

Jackson Medical Group- Santa Barbara · Santa Barbara, CA
Active · expires Dec 2, 2027
CLIA Number05D2069762
Laboratory TypePhysician Office
Certificate Effective DateDecember 3, 2025
Certificate Expiration DateDecember 2, 2027
Laboratory DirectorDr. Blanca Fernandez-Kline
Laboratory Phone(805) 682-8844
Laboratory LocationJackson Medical Group- Santa Barbara517 W Junipero St, Santa Barbara, CA 93105
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D1006663

Jackson Medical Group - Goleta · Goleta, CA
Active · expires Nov 20, 2027
CLIA Number05D1006663
Laboratory TypePhysician Office
Certificate Effective DateNovember 21, 2025
Certificate Expiration DateNovember 20, 2027
Laboratory DirectorShaun Ehsani
Laboratory Phone(805) 682-8844
Laboratory LocationJackson Medical Group - Goleta5333 Hollister Ave, Ste 110, Goleta, CA 93111
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Jackson & Engberg Medical Corporation's NPI number?

The NPI number for Jackson & Engberg Medical Corporation is 1891711289. It was assigned to this organization in the NPPES registry on July 15, 2006. The provider is doing business as Jackson Medical Group Inc.

Where is Jackson & Engberg Medical Corporation located?

Jackson & Engberg Medical Corporation is located at 517 W Junipero St, Santa Barbara, CA 93105. The listed phone number is (805) 682-8844.

What is Jackson & Engberg Medical Corporation's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jackson & Engberg Medical Corporation enrolled in Medicare?

Yes. Jackson & Engberg Medical Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jackson & Engberg Medical Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Family Practice, reassign their Medicare billing to Jackson & Engberg Medical Corporation. 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. Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Jackson & Engberg Medical Corporation hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Jackson & Engberg Medical Corporation was last updated on January 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.