Robert J Jackson, M.D.

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

A71112 Issued in CA

Practice address

23961 Calle de la Magdalena
504
Laguna Hills, CA 92653-3616

Phone

(949) 588-5800

Fax

(949) 380-3344

NPI assigned

Sep 20, 2005

Last updated

Apr 15, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Neurosurgery

Education

Baylor College of Medicine, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Orthopaedic Specialty Institute Medical Group of Orange CountyGroup PAC ID 5395631931, 64 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Care Plus Home Health Home health agency, Laguna Hills, CA, CCN 059376
• Providence Mission Hospital Hospital, Mission Viejo, CA, CCN 050567
• Memorialcare Saddleback Medical Center Hospital, Laguna Hills, CA, CCN 050603
• Hoag Memorial Hospital Presbyterian Hospital, Newport Beach, CA, CCN 050224

Merit-based Incentive Payment System (MIPS)

Final score

87.64 of 100Reported as individual

Quality

73.29

Promoting interoperability

100

Improvement activities

40

Cost

85.52

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: robert.jacksonmd.p1@direct.osiortho.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Orthopaedic Specialty Institute Medical Group of Orange County

  • Orthopaedic Surgery Physician
  • Orange, CA
  • NPI 1336228832
  Medicare reassignment Care Compare group NPD
• Robert J Jackson M.D., Inc.

  • Neurological Surgery Physician
  • Laguna Hills, CA
  • NPI 1538190830
  Medicare reassignment NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Care Plus Nursing Services, Inc.

  dba CARE PLUS Home Health

  • Home Health Agency
  • Laguna Hills, CA
  • NPI 1528385143
  Care Compare affiliation
• Hoag Memorial Hospital Presbyterian

  • General Acute Care Hospital
  • Newport Beach, CA
  • NPI 1518951300
  Care Compare affiliation
• Mission Hospital Regional Medical Center

  dba Providence Mission Hospital

  • General Acute Care Hospital
  • Mission Viejo, CA
  • NPI 1912108002
  Care Compare affiliation
• Mission Hospital Regional Medical Center

  dba Mission Hospital

  • General Acute Care Hospital
  • Mission Viejo, CA
  • NPI 1992752315
  Care Compare affiliation
• Saddleback Memorial Medical Center

  • General Acute Care Hospital
  • Laguna Hills, CA
  • NPI 1275576381
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208217600000",
    "number": "1023003605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23961 CALLE DE LA MAGDALENA",
            "address_2": "504",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533616",
            "telephone_number": "949-588-5800",
            "fax_number": "949-380-3344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23961 CALLE DE LA MAGDALENA",
            "address_2": "504",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533616",
            "telephone_number": "949-588-5800",
            "fax_number": "949-380-3344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "ROBERT",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2008-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "A71112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ivan W Ho DDS Inc
• Olga Ivesic, DO
• Ixdm Inc. (Ohana Palms Recovery)
• Vadana Iyer, PH.D.
• John William Jackson, PHARMD.
• Chloe Jacobs
• Jeffrey L. Jacobs, M.D.
• Jag Reddy MD Inc
• Mayuri Jagadish, MD
• Nojan Jahedmanesh, DDS

• Neurological Surgery Physician in Laguna Hills, CA
• Providers in Laguna Hills, CA by specialty
• Neurological Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.