David D Jackson, EMT

Primary specialty

Basic Emergency Medical TechnicianTaxonomy code 146N00000X

License

E3390030 Issued in CA

Practice address

2655 Cherry Tree Dr
Madera, CA 93637-8845

Phone

(559) 826-8404

NPI assigned

Jun 29, 2022

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Emergency Medical Technician

State licenses

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

{
    "created_epoch": "1656460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656460800000",
    "number": "1376275115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2655 CHERRY TREE DR",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936378845",
            "telephone_number": "559-826-8404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2655 CHERRY TREE DR",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936378845",
            "telephone_number": "559-826-8404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "DAVID",
        "middle_name": "D",
        "credential": "EMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-29",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "CA",
            "license": "E3390030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "daviddjackson@securerecords.sanford.html",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2655 Cherry Tree Dr",
            "city": "Madera",
            "state": "CA",
            "country_code": "US",
            "postal_code": "936378845",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• J P Services LLC
• J.R. Wiens DDS, Inc.
• J&P Spine Center Inc
• Noah Ryan Jacala, PHARMD
• Danielle Jackson
• Joscelyne Kay Jackson, PHARM D
• Saul Jacob, M.D.
• Daisy Jacoby
• Pushkal Jadaun, MD
• Jaggi Care LLC

• Basic Emergency Medical Technician in Madera, CA
• Providers in Madera, CA by specialty
• Basic Emergency Medical Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2022; 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.