Michael Darren Jackson in Pleasanton - Physician Assistant
Michael Darren Jackson - NPI 1154394039
Michael Darren Jackson is a Physician Assistant in Pleasanton, California. Michael Darren Jackson practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Michael Darren Jackson is 1154394039. The last update date is 2013-07-23.
Michael Darren Jackson's current location address is 5000 Hopyard Road, Suite 100, Pleasanton, California. You can contact this provider via phone number 8006177717 and fax number 3045232241. The mailing address for Michael Darren Jackson is 5000 Hopyard Road, Suite 100, Pleasanton, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Darren Jackson |
|---|---|
| Address | 5000 Hopyard Road, Suite 100, Pleasanton, California |
| Phone Number | 8006177717 |
| Fax Number | 3045232241 |
| Sole Proprietor | N |
| Credentials | P.A. |
NPI Number Detail
| NPI Number | 1154394039 |
|---|---|
| Provider Enumeration Date | 2006-02-10 |
| Last Updated Date | 2013-07-23 |
Provider Mailing Address Detail
| Address | 5000 Hopyard Road, Suite 100 |
|---|---|
| City | Pleasanton |
| State | California (CA) |
| Post Code | 94588 |
| Phone Number | 8006177717 |
| Fax Number | 3045232241 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 1987 |
|
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 perfor |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 371956 | AZ | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Michael Darren Jackson by the Centers for Medicare & Medicaid Services?
The Michael Darren Jackson has been issued the NPI (National Provider Identifier) 1154394039 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
What is Michael Darren Jackson's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Michael Darren Jackson is Physician Assistant, and the taxonomy classification code that categorizes this area of expertise is 363A00000X.
On what date did Michael Darren Jackson receive its 1154394039 assignment from the Centers for Medicare & Medicaid Services?
The Michael Darren Jackson was assigned its 1154394039 on 2006-02-10, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Michael Darren Jackson most recently updated or refreshed?
The details pertaining to the Michael Darren Jackson, including its address, specialty, and other relevant information, were last updated or refreshed on 2013-07-23.
As of what date was the information regarding Michael Darren Jackson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Michael Darren Jackson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2013-07-23.