David Steven Jackson

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

2400 S Avenue a
Yuma, AZ 85364-7127

Phone

(928) 336-7505

NPI assigned

Jun 28, 2018

Sex

Male

Sole proprietor

Yes

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 AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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

• Gregory L Peare, M.D., P.C.

  • Orthopaedic Surgery Physician
  • Yuma, AZ
  • NPI 1841472370
  Medicare reassignment
• Honorhealth

  • Surgery Physician
  • Scottsdale, AZ
  • NPI 1801092564
  Medicare reassignment
• Scottsdale Emergency Associates, LTD.

  • Emergency Medicine Physician
  • Scottsdale, AZ
  • NPI 1083671432
  Medicare reassignment
• Tec Emergency Physicians of Arizona, LLC

  • Emergency Care Clinic/Center
  • Gilbert, AZ
  • NPI 1245772870
  Medicare reassignment
• Honorhealth

  • Prosthetic/Orthotic Supplier
  • Peoria, AZ
  • NPI 1386456762
  NPD
• Honorhealth

  • General Acute Care Hospital
  • Scottsdale, AZ
  • NPI 1811951429
  NPD
• Scottsdale Emergency Associates, LTD.

  • Emergency Medicine Physician
  • Scottsdale, AZ
  • NPI 1023298551

  Physician Assistant

  NPD

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

{
    "created_epoch": "1530144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530144000000",
    "number": "1225523665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3376 E STONEHILL LN",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841215864",
            "telephone_number": "801-647-3394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 S AVENUE A",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853647127",
            "telephone_number": "928-336-7505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "DAVID",
        "middle_name": "STEVEN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-28",
        "last_updated": "2018-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Omar A Iqbal, MD
• Isf Ativo Yuma, LLC
• Ismael Guerrero MD PLLC
• Roxanne Iten
• Soba Iyeimo, PA-C
• Jamar Jackson, MBA, M.S, BCBA, LBA
• Patricia Jacobo
• Kathy Ann Jacobson, PMHNP-BC
• Jagani Medical Services P.L.L.C.
• Ravi Pankajbhai Jagani, MD

• Physician Assistant in Yuma, AZ
• Providers in Yuma, AZ by specialty
• Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.