La'Shawnta Jackson, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

16119 Issued in CA

Practice address

26960 Cherry Hills Blvd
Suite C
Sun City, CA 92586-2512

Phone

(951) 301-7615

Fax

(951) 301-7616

NPI assigned

Jun 11, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366645897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16130 GRANDE ISLA CIR",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925511621",
            "telephone_number": "951-301-7611",
            "fax_number": "951-301-7616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26960 CHERRY HILLS BLVD",
            "address_2": "SUITE C",
            "city": "SUN CITY",
            "state": "CA",
            "postal_code": "925862512",
            "telephone_number": "951-301-7615",
            "fax_number": "951-301-7616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "LA'SHAWNTA",
        "name_prefix": "Mrs.",
        "credential": "P.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "16119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Nareen Hermiz, DO
• Tanya Hirmiz
• Hope Hospice & Healthcare, Inc.
• Olivia Rocio Inostroz
• J. C. Romero, DDS, Inc.
• Weldon Karl Jackson, MA CCC-A
• Jaehoon Lee Optometry Corp (Sun City Vision Clinic)
• Randy L Jester, HIS
• Johnson and Johnson Hearing Aid Center
• Mike Johnson, HEARING AID SPECIALI

• Physician Assistant in Sun City, CA
• Providers in Sun City, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.