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CHRISTIAN DEANTHONY JACKSON CTRS
NPI 1902492754
Recreation Therapist in Long Beach, CA

Active since December 16, 2020
330 GOLDEN SHR STE 250, LONG BEACH, CA 90802(562) 247-0713(800) 985-5002 Get Directions Write a Review

NPPES record last updated: December 16, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Christian Deanthony Jackson Ctrs NPPES

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

CHRISTIAN DEANTHONY JACKSON CTRS (NPI 1902492754) is an individual recreation therapist in Long Beach, California, licensed in California (83338) and active in the NPI registry since December 2020.

NPPES Registry Identity

NPI1902492754
Entity TypeIndividualMale
Primary Taxonomy225800000X
Provider Legal NameCHRISTIAN DEANTHONY JACKSONCredential: CTRS
Location Address330 GOLDEN SHR STE 250Long Beach, CA 90802-4270
Mailing Address818 W 106th StLos Angeles, CA 90044-4438 · (323) 867-3923
Phone(562) 247-0713
Fax(800) 985-5002
Sole ProprietorYes
Enumeration DateDecember 16, 2020
NPPES CertifiedDecember 16, 2020
✔ NPI 1902492754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRecreation TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225800000X
License✔ Licensed in CA · 83338
Definition

A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient.

330 GOLDEN SHR STE 250, Long Beach, CA 90802
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Other Providers at the Same Location NPPES 16

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

SHUNDA MCWAIN
Respiratory Therapist, Certified
330 GOLDEN SHR STE 250
LONG BEACH, CA 90802
Los Angeles County (562) 256-7550
MRS. YOLANDA GOOCH
Physical Therapy Assistant
330 GOLDEN SHR STE 250
LONG BEACH, CA 90802
Los Angeles County (866) 414-0448
MS. JANE SAKAMOTO
Occupational Therapy Assistant
330 GOLDEN SHR STE 250
LONG BEACH, CA 90802
Los Angeles County (562) 256-7550
MR. CRAIG KOJIMA PTA
Physical Therapy Assistant
330 GOLDEN SHR STE 250
LONG BEACH, CA 90802
Los Angeles County (562) 256-7550
MS. FRAIBA TISHBI
Occupational Therapist
330 GOLDEN SHR STE 250
LONG BEACH, CA 90802
Los Angeles County (562) 256-7550
MS. LALANA LYNN FENNELL
Occupational Therapy Assistant
330 GOLDEN SHR STE 250
LONG BEACH, CA 90802
Los Angeles County (562) 256-7550
MS. RENEE MORENO
Occupational Therapist
330 GOLDEN SHR STE 250
LONG BEACH, CA 90802
Los Angeles County (562) 256-7550
RICKY DELCARDO FRANCE
Physical Therapy Assistant
330 GOLDEN SHR STE 250
LONG BEACH, CA 90802
Los Angeles County (562) 440-7832

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 Christian Jackson's NPI number?

The NPI number for Christian Jackson is 1902492754. It was assigned to this individual provider in the NPPES registry on December 16, 2020.

Where is Christian Jackson located?

Christian Jackson practices at 330 Golden Shr Ste 250, Long Beach, CA 90802. The listed phone number is (562) 247-0713.

What is Christian Jackson's specialty?

The primary specialty registered for this NPI is Recreation Therapist with taxonomy code 225800000X.

When was this NPI record last updated?

The NPPES record for Christian Jackson was last updated on December 16, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.