Gail N Jackson MD PC

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

G41783 Issued in CA

Legal business name

GAIL N JACKSON MD PC

Practice address

1333 Ocean Ave
Santa Monica, CA 90401-1023

Phone

(310) 451-2300

Fax

(310) 451-2325

NPI assigned

Aug 30, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Gail N Jackson, M.D.,NPI 1063401958

Title

Ceo/Owner

Phone

(310) 659-2666

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gail N Jackson, M.D

  • Gynecology Physician
  • Los Angeles, CA
  • NPI 1063401958
  Medicare reassignment NPD Authorized official
• Allyson Ann Gonzalez, M.D.

  • Obstetrics & Gynecology Physician
  • Santa Monica, CA
  • NPI 1720131501
  NPD (past)
• Lisa M Masterson, MD

  • Obstetrics & Gynecology Physician
  • Santa Monica, CA
  • NPI 1497843692
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337385600000",
    "number": "1184734196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11692",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902957692",
            "telephone_number": "310-451-2300",
            "fax_number": "310-451-2325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 OCEAN AVE",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904011023",
            "telephone_number": "310-451-2300",
            "fax_number": "310-451-2325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAIL N JACKSON MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2012-05-19",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "GAIL",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "310-659-2666",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D.,"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "CA",
            "license": "G41783",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "ET547A",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mona H Gabriel, RPH
• Anjali Gadh
• Megan Lee Gage, LPCC
• Tracy Gage, LVN
• Gail E Wehner
• Janice Gaines
• Apostolos Gaitanidis, MD
• Laura Gajda
• Virginia Galan-Burns, NP
• Neda Galanoi, MD

• Gynecology Physician in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.