NPIMap

Individual provider Active NPI

Jackson Ma, M.D.

  • Internal Medicine Physician
  • Montebello, CA
National Provider Identifier
1447298732
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A81950 Issued in CA
Practice address
120 W Beverly Blvd
Montebello, CA 90640-4305
Phone
(323) 528-1565
Fax
(323) 271-4068
NPI assigned
Jun 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A81950 CA Primary

Addresses

Primary practice location

120 W Beverly Blvd
Montebello, CA 90640-4305

Mailing address

120 W Beverly Blvd
Montebello, CA 90640-4305
Phone (323) 528-1565

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040812001528 CA Practitioner - Internal Medicine 7214900844 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Wisconsin School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

120 W Beverly Blvd
Montebello, CA 90640-4305
Phone (323) 490-7231

2712 San Gabriel Blvd
Rosemead, CA 91770-3256
Phone (626) 537-1818

Hospital & facility affiliations

  • USA Home Health, Inc Home health agency, Glendale, CA, CCN 057734
  • Advance Home Health Services, Inc Home health agency, Alhambra, CA, CCN 557791
  • Americus Hospice, Inc Hospice, Simi Valley, CA, CCN 921745
  • Adventist Health White Memorial Hospital, Los Angeles, CA, CCN 050103
  • Pih Health Hospital-Whittier Hospital, Whittier, CA, CCN 050169

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Actinium Medical Corporation Internal Medicine CurrentSince Dec 1, 2022 Accepting new patients
Access Primary Care Physicians, Inc. Internal Medicine CurrentSince Jan 1, 2019 Accepting new patients
Access Primary Care Physicians, Inc. Internal Medicine CurrentSince Jan 1, 2019 Accepting new patients
Spark Healthcare CurrentSince Oct 23, 2025 Accepting new patients
White Memorial Medical Center Past Accepting new patients
Physical Therapy 1St Rehabilitation Wellness a Professional Corpor PastSince Nov 1, 2012 Accepting new patients
Caremore Medical Group Internal Medicine Past Accepting new patients
Pih Health Whittier Hospital Past Accepting new patients

Locations

10250 Country Club Dr
Ste H
Jurupa Valley, CA 91752
Phone (951) 200-6166

101 E Beverly Blvd
Ste 100A
Montebello, CA 90640
Phone (323) 490-7231

120 W Beverly Blvd
Montebello, CA 90640
Phone (323) 528-1565

8622 Garvey Ave
Ste 205
Rosemead, CA 91770
Phone (626) 693-2077

2712 San Gabriel Blvd
Rosemead, CA 91770
Phone (626) 288-1199

12533 Washington Blvd
Ste B
Whittier, CA 90602
Phone (562) 696-1655

9209 Colima Rd
Ste 4400
Whittier, CA 90605
Phone (562) 907-0777

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DGAEDD/Endpoint/DGAEDD

Organizations & group practices 8

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1447298732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W BEVERLY BLVD",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906404305",
            "telephone_number": "323-528-1565",
            "fax_number": "323-725-1869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W BEVERLY BLVD",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906404305",
            "telephone_number": "323-528-1565",
            "fax_number": "323-271-4068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MA",
        "first_name": "JACKSON",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2026-08-24",
        "certification_date": "2026-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A81950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montebello, CA

Sources for this page

Verify at the official NPI Registry.