OrganizationActive
Anita C. Jackson, M.D., Inc
NPI 1326145756 · Primary Care Clinic/Center · Temecula, CA
Provider details
- NPI number
- 1326145756
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Anita Jackson, President(951) 694-4688
- License
- A053675 (CA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
31720 Highway 79 South
Suite 203
Temecula, CA 92592
Phone: (951) 694-4688
Fax: (951) 694-4760
Approximate (ZIP-level) locationGet directions
Mailing address
31720 Highway 79 South
Temecula, CA 92592
Registry dates
- Enumerated
- 2006-09-20
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.