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Deactivated NPI 1992987309 Deactivated / Inactive NPI Female Practitioner

Andrea Irene Jackson

Case Manager/Care Coordinator • Compton, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Andrea Jackson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 28, 2007
NPI Deactivation Date July 30, 2026
Total Practice Duration ~19 Years of Practice (2007 – 2026)

Professional Overview & Biography Verified Profile Summary

Andrea Jackson was a registered Case Manager/Care Coordinator practicing in Compton, CA. Throughout an active medical career spanning 19 years, Andrea Jackson provided care at the practice location at 921 E COMPTON BLVD until profile deactivation on 2026-07-30.

Practice Location & Contact Primary Location

Practice Address

921 E Compton Blvd

Compton, CA 902213303

Telephone 3106686953
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Case Manager/Care Coordinator in Compton, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.8 Yrs
Regional Practice Density
96 Specialists

Practicing in Compton, CA (23452 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Case Manager/Care Coordinator Primary Specialty

NUCC Taxonomy Code: 171M00000X

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Jacqueline Jones

Student in an Organized Health Care Education/Training Program

NPI 1003164120
Sylvia Lopez

Rehabilitation Practitioner

NPI 1023259397
Dynesha Crooks

Social Worker - Clinical

NPI 1023275807
Michelle Obando

Day Training/Habilitation Specialist

NPI 1023540242
Minnie Mcclain

Social Worker - School

NPI 1063698892
Cynthia Mismith , LCSW

Social Worker - Clinical

NPI 1063775567

Licensed Clinical Social Worker

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated July 30, 2026

Record deactivated on July 30, 2026

NPI Profile Active August 04, 2011

NPI status registered as active in NPPES database

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Updated Practice Location August 04, 2011

Registered at 921 E COMPTON BLVD, COMPTON, CA 902213303 (Tel: 3106686953)

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Updated Business Mailing Address August 04, 2011

Registered at 921 E COMPTON BLVD, COMPTON, CA 902213303 (Tel: 3106686953)

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Provider Name / Credentials Updated August 04, 2011

Recorded as ANDREA JACKSON

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 04, 2011

Case Manager/Care Coordinator

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Initial NPI Registration & Enumeration November 28, 2007

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: 1992987309
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 28, 2007
Last Update: August 04, 2011
Deactivation Date: July 30, 2026

Mailing Address

921 E Compton Blvd

Compton, CA 902213303

Phone: 3106686953

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.