Robert J Jackson M.D., Inc.

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

A71112 Issued in CA

Legal business name

ROBERT J JACKSON M.D., INC.

Practice address

23961 Calle de la Magdalena Ste 405
Laguna Hills, CA 92653-3683

Phone

(949) 588-5800

Fax

(949) 380-3344

NPI assigned

Jul 5, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Robert J Jackson, M.D.NPI 1023003605

Title

Owner

Phone

(949) 588-5800

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

Locations

Practitioners 1

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

• Robert J Jackson, M.D.

  • Neurological Surgery Physician
  • Laguna Hills, CA
  • NPI 1023003605
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727827200000",
    "number": "1538190830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23961 CALLE DE LA MAGDALENA STE 405",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533683",
            "telephone_number": "949-588-5800",
            "fax_number": "949-380-3344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23961 CALLE DE LA MAGDALENA STE 405",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533683",
            "telephone_number": "949-588-5800",
            "fax_number": "949-380-3344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT J JACKSON M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-588-5800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "A71112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert a Shapiro,M.D.,Inc.
• Robert C Sutter Jr MD Inc
• Robert F Wayner MD Inc
• Robert G Feldman Inc
• Robert G Feldman MD Inc
• Abby V Roberts
• Carin Roberts
• Diane Lynn Roberts, LMFT
• Gregg John Roberts, O.D.
• Elsie Minna Robertson, M.D.

• Neurological Surgery Physician in Laguna Hills, CA
• Providers in Laguna Hills, CA by specialty
• Neurological Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; 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.