LAUREN NICOLE JACKSON
NPI 1912639873
Physician Assistant in San Juan Capistrano, CA

Active since June 29, 2022
30448 RANCHO VIEJO RD STE 150, SAN JUAN CAPISTRANO, CA 92675(949) 489-0773 Get Directions Write a Review

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

About Lauren Nicole Jackson NPPES

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

LAUREN NICOLE JACKSON (NPI 1912639873) is an individual physician assistant in San Juan Capistrano, California, licensed in California (PA64902) and active in the NPI registry since June 2022. She maintains a secondary practice location in Euless.

NPPES Registry Identity

NPI1912639873
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameLAUREN NICOLE JACKSON
Location Address30448 RANCHO VIEJO RD STE 150San Juan Capistrano, CA 92675-1572
Mailing Address30448 Rancho Viejo Rd Ste 150San Juan Capistrano, CA 92675-1572
Sole ProprietorNo
Enumeration DateJune 29, 2022
Last NPPES UpdateFebruary 19, 2026
NPPES CertifiedFebruary 19, 2026
NPI 1912639873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in CA · PA64902 Licensed in TX · PA19625
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.

30448 RANCHO VIEJO RD STE 150, San Juan Capistrano, CA 92675

Secondary Practice Location 1

Location 12219 W Euless Blvd Ste 200Euless, TX 76040-6679 · Phone (866) 971-7393

Other Providers at the Same Location NPPES 4

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

Physician Assistant (Medical)
30448 RANCHO VIEJO RD STE 150
SAN JUAN CAPISTRANO, CA 92675
Family Medicine
30448 RANCHO VIEJO RD STE 150
SAN JUAN CAPISTRANO, CA 92675
Physician Assistant
30448 RANCHO VIEJO RD STE 150
SAN JUAN CAPISTRANO, CA 92675
Physician Assistant
30448 RANCHO VIEJO RD STE 150
SAN JUAN CAPISTRANO, CA 92675

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 Lauren Jackson's NPI number?

The NPI number for Lauren Jackson is 1912639873. It was assigned to this individual provider in the NPPES registry on June 29, 2022.

Where is Lauren Jackson located?

Lauren Jackson practices at 30448 Rancho Viejo Rd Ste 150, San Juan Capistrano, CA 92675. The listed phone number is (949) 489-0773.

What is Lauren Jackson's specialty?

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

When was this NPI record last updated?

The NPPES record for Lauren Jackson was last updated on February 19, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.