Charles W Jackson MD Inc
NPI 1851594006ActiveOrganization· General Practice· Huntington Beach, CA
General Practice in Huntington Beach, California, registered in NPPES in June 2007. The authorized official on file is Charles Jackson, M.D., President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1851594006 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 6, 2007 |
| Last updated in NPPES | Jul 28, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | G35311 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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