Douglas Gilbert Jackson I, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

320553 Issued in CA

Practice address

14827 Foothill Rd
Santa Paula, CA 93060-9733

Phone

(805) 525-5233

NPI assigned

Jul 3, 2006

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

Other names 1

• Mr. Douglas Gilbert Jackson Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760412241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14827 FOOTHILL RD",
            "city": "SANTA PAULA",
            "state": "CA",
            "postal_code": "930609733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14827 FOOTHILL RD",
            "city": "SANTA PAULA",
            "state": "CA",
            "postal_code": "930609733",
            "telephone_number": "805-525-5233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "DOUGLAS",
        "middle_name": "GILBERT",
        "name_prefix": "Mr.",
        "name_suffix": "I",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "320553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DOUGLAS",
            "last_name": "JACKSON",
            "middle_name": "GILBERT",
            "prefix": "MR.",
            "credential": "NP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sonia Jolene Hurtado
• Caryn Husk, BA, MA
• Rocio Ibanez, M.S., MFTI
• Kevin Ikeda, OD
• Interface Children Family Services
• Daney Daisy Jacksper
• Diana Jacobo
• Kayli Casey Jankowski
• Lola Aline Jenks
• Liberato Lona Jimenez, BCBA

• Family Nurse Practitioner in Santa Paula, CA
• Providers in Santa Paula, CA by specialty
• Family Nurse Practitioner 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.