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Active NPI 1033155452 Individual Practitioner Female Practitioner

Dina A. Jackson , PA-C

Physician Assistant • Brawley, CA

Professional Overview & Biography Verified Profile Summary

Dina Jackson, PA-C is a registered healthcare professional specializing in Physician Assistant in Brawley, CA. Practice services are available at 900 MAIN ST under active NPI credentials.

Frequently performed procedures and clinical services include emergency department visit with low level of medical decision making, emergency department visit with moderate level of medical decision making, emergency department visit for life threatening or functioning severity. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

900 Main St

Brawley, CA 922272630

Telephone 5592130297
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Brawley, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.8 Yrs
State Avg: 11.5 Yrs
Regional Practice Density
20 Specialists

Practicing in Brawley, CA (14617 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
93.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2018)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99283 Emergency department visit with low level of medical decision making
52 51 $965.40 $51.56
99284 Emergency department visit with moderate level of medical decision making
22 22 $1410.27 $97.94
99285 Emergency department visit for life threatening or functioning severity
16 16 $2157.00 $143.78

Medical Specialties & State Licenses

CMS Verified: 2025-02-11
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License CA PA11863

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
PA11863 (CA)

Practice Associates & Co-Workers

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

24 Associated Practitioners
Dr. Saune-Elisabet Carlisle , MD

Pediatrics - Neonatal-Perinatal Medicine

NPI 1023274040

Doctor of Medicine (M.D.)

Ana Duarte , MSN, APRN, FNP-C

Nurse Practitioner - Family

NPI 1023601192

Master of Science in Nursing, Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

NPI 1083637052

Doctor of Medicine (M.D.)

Omayra Montalvo , PA

Physician Assistant - Medical

NPI 1114354404

Physician Assistant

Salma Foroozan , PA-C

Physician Assistant

NPI 1134420631

Physician Assistant (Certified)

Gabrielle Clayton , NP

Nurse Practitioner - Family

NPI 1245098300

Nurse Practitioner

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Practice Location February 11, 2025

Registered at 900 MAIN ST, BRAWLEY, CA 922272630 (Tel: 5592130297)

NPI Profile Active November 28, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location November 28, 2011

Registered at 1275 E SPRUCE AVE, STE 101, FRESNO, CA 937203372 (Tel: 5594395757)

📍
Updated Business Mailing Address November 28, 2011

Registered at 2037 W BULLARD AVE, #135, FRESNO, CA 937111200

👤
Provider Name / Credentials Updated November 28, 2011

Recorded as DINA JACKSON, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 28, 2011

Physician Assistant (License #PA11863 in CA)

🟢
Initial NPI Registration & Enumeration June 22, 2006

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: 1033155452
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 22, 2006
Last Update: February 11, 2025
Sole Proprietor: No

Mailing Address

2037 W Bullard Ave, #135

Fresno, CA 937111200

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.