SearchCalifornia225100000X

Shane Jackson, DPT

NPI 1548567571 · on the registry since 2011 · sole proprietor

Practice

Address
2844 Summit St
Ste 106
Oakland, CA 94609
Phone
(510) 788-4535
Organisation at this address
Barbara Yuh
Western Drug Inc
James F Vincek Dds Inc
Zahid H. Ahmed D.D.S. Inc
Advanced Foot Clinic, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
18

Registry record

Primary taxonomy
225100000X
225100000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-02-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California