Jackson Nagamoto, MD
NPI 1356043061 · Internal Medicine Physician · Philadelphia, PA
Jackson Nagamoto, MD is a Internal Medicine Physician provider in Philadelphia, PA (NPI 1356043061).
Provider details
- NPI number
- 1356043061
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- MD493254 (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 4510 Brockton AveRiverside, CA 92501-4015Phone: (951) 897-9896
Registry dates
- Enumerated
- 2023-03-20
- Last updated
- 2026-03-31
- Certified
- 2026-03-31
Frequently asked questions
- What is Jackson Nagamoto's NPI number?
- Jackson Nagamoto's National Provider Identifier (NPI) is 1356043061, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jackson Nagamoto's specialty?
- Jackson Nagamoto is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Jackson Nagamoto located?
- Jackson Nagamoto's practice location on file with NPPES is 3401 N Broad St, Philadelphia, PA 19140-5103.
- What is Jackson Nagamoto's phone number?
- The practice phone number listed in the NPPES registry for Jackson Nagamoto is (215) 707-1622.
- Is Jackson Nagamoto's NPI active?
- Yes — Jackson Nagamoto's NPI (1356043061) is active in the NPPES registry as of the last update on 2026-03-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.