Jackson & Engberg Medical Corporation

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

JACKSON & ENGBERG MEDICAL CORPORATION

Doing business as

Jackson Medical Group Inc

Practice address

517 W Junipero St
Santa Barbara, CA 93105-4239

Phone

(805) 682-8844

Fax

(805) 682-4735

NPI assigned

Jul 15, 2006

Last updated

Jan 17, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Karen M Engberg, M.D.

Title

President

Phone

(805) 682-8844

Specialties & licenses 2

Addresses

Other names 1

• Jackson Medical Group Inc Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Douglas E Cummings, M.D.

  • Internal Medicine Physician
  • Santa Barbara, CA
  • NPI 1407876774
  Medicare reassignment Care Compare group
• Shaun Ehsani, MD

  • Family Medicine Physician
  • Santa Barbara, CA
  • NPI 1306040712
  Medicare reassignment Care Compare group
• Blanca Estela Fernandez-Kline, MD

  • Family Medicine Physician
  • Santa Barbara, CA
  • NPI 1679653927
  Medicare reassignment Care Compare group
• Jeffrey Garber, PA-C

  • Physician Assistant
  • La Jolla, CA
  • NPI 1104220375
  Medicare reassignment Care Compare group
• Gina Analisa Grossi, PA-C, MMS

  • Physician Assistant
  • Stanford, CA
  • NPI 1306076476
  Medicare reassignment Care Compare group
• Karen Marie Hanna Arndt, PA-C

  • Medical Physician Assistant
  • Santa Barbara, CA
  • NPI 1598784225
  Medicare reassignment Care Compare group
• Janet Theresa Spagna, PA-C

  • Physician Assistant
  • Goleta, CA
  • NPI 1609127034
  NPD
• Erica Gallen

  • Family Nurse Practitioner
  • Santa Barbara, CA
  • NPI 1013319417
  NPD (past)
• Sherilyn Chantal Wheaton, M.D.

  • Family Medicine Physician
  • Ventura, CA
  • NPI 1205861234
  NPD (past)
• Elizabeth J Cardinale, MD

  • Internal Medicine Physician
  • University Park, PA
  • NPI 1154585909
  NPD (past)

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389916800000",
    "number": "1891711289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 W JUNIPERO ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931054239",
            "telephone_number": "805-682-8844",
            "fax_number": "805-682-4735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 W JUNIPERO ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931054239",
            "telephone_number": "805-682-8844",
            "fax_number": "805-682-4735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON & ENGBERG MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2014-01-17",
        "status": "A",
        "authorized_official_last_name": "ENGBERG",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-682-8844",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jackson Medical Group Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Israel Trujillo MD
• Issels Medical Center
• Janet Noble Iversen, PH.D.
• Ronald Lloyd Iverson, PH.D.
• J Ilvento, M.D. & J Dean, M.D., Inc.
• April Kellie Jackson, MA, LMFT
• Camille Jackson
• Catherine Jackson, NP
• Cecelia Cord Morton Jackson, LMFT
• Douglas R Jackson, MD

• Family Medicine Physician in Santa Barbara, CA
• Providers in Santa Barbara, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.