| Dina A Jackson, PA-C | |
|
900 Main St, Brawley, CA 92227-2630 | |
| (559) 213-0297 | |
| Not Available |
| Full Name | Dina A Jackson |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 900 Main St, Brawley, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033155452 | NPI | - | NPPES |
| PA11863 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA11863 (California) | Primary |
| Entity Name | Carbon Health Medical Group of California PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417294232 PECOS PAC ID: 9032340047 Enrollment ID: O20140314001276 |
| Entity Name | California Dreams Medical Corporation PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487299699 PECOS PAC ID: 7113353160 Enrollment ID: O20200211000893 |
| Entity Name | Express Care Medical Group a Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124886882 PECOS PAC ID: 7315389376 Enrollment ID: O20240522004198 |
| Mailing Address | Practice Location Address |
|---|---|
| Dina A Jackson, PA-C 2037 W Bullard Ave, #135, Fresno, CA 93711-1200 Ph: Not Available | Dina A Jackson, PA-C 900 Main St, Brawley, CA 92227-2630 Ph: (559) 213-0297 |
Mr. Marshall Ray Debruler, P.A.-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 207 W Legion Rd, Brawley, CA 92227 Phone: 760-445-3050 |
Omayra Montalvo, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 900 Main St, Brawley, CA 92227 Phone: 760-344-6471 Fax: 760-344-8410 |
Miss Autumn Leci Fornasero, M.S. PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 207 W Legion Rd, Brawley, CA 92227 Phone: 760-351-3333 |
Salma Foroozan, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 900 Main St, Brawley, CA 92227 Phone: 760-344-6471 Fax: 760-344-8410 |
Mr. Christopher Leslie Thompson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 207 W Legion Rd, Brawley, CA 92227 Phone: 760-351-3333 |
Mark Simpson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 207 W Legion Rd, Brawley, CA 92227 Phone: 760-351-3333 |
Veronica Montenegro-jauregui, PHYSICIAN ASSISTANT Physician Assistant Medicare: Medicare Enrolled Practice Location: 751 W Legion Rd Ste 204, Brawley, CA 92227 Phone: 760-351-3296 Fax: 760-351-3142 |