Anita Cal Jackson
Family Doctor - Adult Medicine Family Doctor - Geriatric Medicine
44274 George Cushman Ct Ste 212
Temecula
, California 92592-5945
Anita Cal Jackson
Family Doctor - Adult Medicine Family Doctor - Geriatric Medicine
44274 George Cushman Ct Ste 212
Temecula
, California 92592-5945
(888) 856-3893
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About
Features
Specialties
- Family Doctor - Adult Medicine
- Family Doctor - Geriatric Medicine
Languages spoken
- English
Location
First Address
- Anita Cal Jackson
- 1545 W Florida Ave
- Hemet, CA
- Zip : 92543-3814
- Fax : (888) 856-3893
- Phone : (951) 791-1111
Second Address
- Anita Cal Jackson
- 44274 George Cushman Ct Ste 212
- Temecula, CA
- Zip : 92592-5945
- Fax : (888) 827-3492
- Phone : (951) 694-4688
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QA0505X | Family Doctor - Adult Medicine | A053675 | CA |
| N | 207QG0300X | Family Doctor - Geriatric Medicine | A053675 | CA |
National Provider Identifier
| NPI | 1063519486 |
|---|---|
| Provider Name | Anita Cal Jackson |
| First Address | Hemet, CA 92543-3814 |
| Second Address | Temecula, CA 92592-5945 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/09/2006 |
| Last Update Date | 08/11/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.