IndividualActive
David Jackson, EMT
NPI 1376275115 · Basic Emergency Medical Technician · Madera, CA
Provider details
- NPI number
- 1376275115
- Entity type
- Individual
- Primary specialty
- Basic Emergency Medical TechnicianEmergency Medical Service Providers
- Credential
- EMT
- Sex
- Male
- Sole proprietor
- No
- License
- E3390030 (CA)
Specialties & taxonomies
Emergency Medical Service Providers
Practice location
2655 Cherry Tree Dr
Madera, CA 93637-8845
Phone: (559) 826-8404
Approximate (ZIP-level) locationGet directions
Mailing address
2655 Cherry Tree Dr
Madera, CA 93637-8845
Registry dates
- Enumerated
- 2022-06-29
- Last updated
- 2022-06-29
- Certified
- 2022-06-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.