CHANTAL TAUBEN JACKSON
NPI 1952980138
Student in an Organized Health Care Education/Training Program in Santa Ana, CA

Active since April 06, 2021PECOS EnrolledAccepts Medicare Assignment
1900 E 4TH ST, SANTA ANA, CA 92705(833) 574-2273 Get Directions Write a Review

NPPES record last updated: December 3, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 3, 2021, Apr 6, 2021 (2 updates tracked since 2021).

About Chantal Tauben Jackson NPPES

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

CHANTAL TAUBEN JACKSON (NPI 1952980138) is an individual student in an organized health care education/training program in Santa Ana, California and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and is a graduate of University Of Arizona College Of Medicine (2020).

NPPES Registry Identity

NPI1952980138
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameCHANTAL TAUBEN JACKSON
Location Address1900 E 4TH STSanta Ana, CA 92705-3910
Mailing Address1900 E 4th StSanta Ana, CA 92705-3910
Sole ProprietorNo
Medical School CMSUniversity Of Arizona College Of MedicineGraduated 2020
Enumeration DateApril 6, 2021
Last NPPES UpdateDecember 3, 20212 updates tracked since enumeration
NPPES CertifiedApril 6, 2021
NPI 1952980138 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
1900 E 4TH ST, Santa Ana, CA 92705

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Chantal Tauben Jackson is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5496283541
PECOS Enrollment IDI20250116002869
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.

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.

Student in an Organized Health Care Education/Training Program
1900 E 4TH ST
SANTA ANA, CA 92705
Student in an Organized Health Care Education/Training Program
1900 E 4TH ST
SANTA ANA, CA 92705
Family Medicine
1900 E 4TH ST
SANTA ANA, CA 92705
Obstetrics & Gynecology
1900 E 4TH ST
SANTA ANA, CA 92705
Psychiatry & Neurology (Psychiatry)
1900 E 4TH ST, 2ND FLOOR
SANTA ANA, CA 92705
Student in an Organized Health Care Education/Training Program
1900 E 4TH ST
SANTA ANA, CA 92705
Student in an Organized Health Care Education/Training Program
1900 E 4TH ST
SANTA ANA, CA 92705
Student in an Organized Health Care Education/Training Program
1900 E 4TH ST
SANTA ANA, CA 92705

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 Chantal Jackson's NPI number?

The NPI number for Chantal Jackson is 1952980138. It was assigned to this individual provider in the NPPES registry on April 6, 2021.

Where is Chantal Jackson located?

Chantal Jackson practices at 1900 E 4th St, Santa Ana, CA 92705. The listed phone number is (833) 574-2273.

What is Chantal Jackson's specialty?

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

Is Chantal Jackson enrolled in Medicare?

Yes. Chantal Jackson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Chantal Jackson was last updated on December 3, 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.