Michael Jackson, NURSE PRACTITIONER
NPI 1821879958 · Psychiatric/Mental Health Nurse Practitioner · Long Beach, CA
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Michael Jackson, NURSE PRACTITIONER is a Psychiatric/Mental Health Nurse Practitioner provider in Long Beach, CA (NPI 1821879958).
Provider details
- NPI number
- 1821879958
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NURSE PRACTITIONER
- Sex
- Male
- Sole proprietor
- Yes
- License
- 95027684 (CA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 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 (2)
- 1061 Tierra Del Rey Ste 200Chula Vista, CA 91910-7881Phone: (855) 501-1004
- 1201 Morena Blvd Ste 100San Diego, CA 92110-3814Phone: (619) 398-0355Fax: (619) 398-0350
Registry dates
- Enumerated
- 2023-10-13
- Last updated
- 2026-04-13
- Certified
- 2026-04-13
Frequently asked questions
- What is Michael Jackson's NPI number?
- Michael Jackson's National Provider Identifier (NPI) is 1821879958, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Michael Jackson's specialty?
- Michael Jackson is listed in the NPPES registry with a primary specialty of Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Michael Jackson located?
- Michael Jackson's practice location on file with NPPES is 333 W Broadway Ste 310, Long Beach, CA 90802-4438.
- What is Michael Jackson's phone number?
- The practice phone number listed in the NPPES registry for Michael Jackson is (562) 491-6465.
- Does Michael Jackson accept Medicare?
- Michael Jackson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Michael Jackson's NPI active?
- Yes — Michael Jackson's NPI (1821879958) is active in the NPPES registry as of the last update on 2026-04-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.