Search › California › 171400000X
Jackson Stephen
NPI 1972333102 · on the registry since 2024
Practice
- Address
- 2135 S Mountain View Ave
Anaheim, CA 92802 - Phone
- (714) 517-8926
- Organisation at this address
- Anaheim Elementary School District
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 171400000X
171400000X
- Also registered as
- 106S00000X
- Sex
- Male
- Record last updated
- 2026-08-04
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