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Active NPI 1104084698 Individual Practitioner Male Practitioner

Dr. Ollie Joseph Jackson , MD

Surgery • Beverly Hills, CA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Ollie Jackson, MD is a certified Surgery practicing in Beverly Hills, CA. With approximately 25 years of clinical experience since graduating from University Of Oklahoma College Of Medicine in 2001, Dr. Jackson delivers high-quality medical care to the local community at 9001 WILSHIRE BLVD.

Dr. Jackson maintains professional affiliations with Wound Docs Apc, Izuchukwu Okpara Md Inc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

9001 Wilshire Blvd
Suite #106

Beverly Hills, CA 902111838

Telephone 3102738885
Fax 3102738662
Associated Practice Facility / Clinic
🏢 Woodlake Surgery Center Facility NPI 1922052133

Medicare Profile & Education

Medical School

University Of Oklahoma College Of Medicine

Graduation Year

2001

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Beverly Hills, CA

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
25 Yrs -4.8 yrs vs City Avg
City Avg: 29.8 Yrs
State Avg: 27.4 Yrs
Regional Practice Density
32 Specialists

Practicing in Beverly Hills, CA (3346 Statewide)

Telehealth Adoption Rate
12.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Jackson (25 Years) 25 Yrs
Beverly Hills Specialty Average (29.8 Years) 29.8 Yrs

Medical Specialties & State Licenses

CMS Verified: 2023-03-15
Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License CA A103543

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery - Plastic and Reconstructive Surgery

NUCC Taxonomy Code: 2086S0122X

State License CA A103543

A surgeon who specializes in plastic and reconstructive surgery.

Hospital & Practice Group Affiliations

Izuchukwu Okpara Md Inc

28212 Kelly Johnson Pkwy, Valencia, CA 913555090

Phone: 2132283538

Wound Docs Apc

1703 Termino Ave, Long Beach, CA 908042126

Phone: 5628003321

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Michael Omidi , MD

Surgery - Plastic and Reconstructive Surgery

NPI 1376697599

Doctor of Medicine (M.D.)

Dr. David Fellows , MD

Surgery - Plastic and Reconstructive Surgery

NPI 1962556068

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 15, 2023

Surgery (License #A103543 in CA)

NPI Profile Active May 30, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location May 30, 2008

Registered at 9001 WILSHIRE BLVD, SUITE #106, BEVERLY HILLS, CA 902111838 (Tel: 3102738885)

📍
Updated Business Mailing Address May 30, 2008

Registered at 9001 WILSHIRE BLVD, SUITE #106, BEVERLY HILLS, CA 902111838 (Tel: 3102738885)

👤
Provider Name / Credentials Updated May 30, 2008

Recorded as OLLIE JACKSON, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 30, 2008

Plastic Surgery (License #A103543 in CA)

🟢
Initial NPI Registration & Enumeration May 30, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104084698
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 30, 2008
Last Update: March 15, 2023
Sole Proprietor: Yes

Mailing Address

9001 Wilshire Blvd, Suite #106

Beverly Hills, CA 902111838

Phone: 3102738885

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.