Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1861059784 Individual Practitioner Male Practitioner

Sean Jackson

Physician Assistant • Corona, CA

Professional Overview & Biography Verified Profile Summary

Sean Jackson is a registered healthcare professional specializing in Physician Assistant in Corona, CA. Practice services are available at 341 MAGNOLIA AVE STE 101 under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, aspiration and/or injection of fluid from large joint. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

341 Magnolia Ave Ste 101

Corona, CA 928793331

Telephone 9517356060
Associated Practice Facility / Clinic
🏢 Foothills Spine Surgery Facility NPI 1346832987

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Corona, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.8 Yrs
State Avg: 11.5 Yrs
Regional Practice Density
57 Specialists

Practicing in Corona, CA (14617 Statewide)

Telehealth Adoption Rate
7.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
63.6% 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 (2021)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
131 83 $198.00 $81.74
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
74 74 $284.00 $100.42
20610 Aspiration and/or injection of fluid from large joint
61 32 $165.00 $59.26
J1030 Injection, methylprednisolone acetate, 40 mg
53 38 $10.00 $5.67
73130 X-ray of hand, minimum of 3 views
24 23 $93.00 $33.19
73560 X-ray of knee, 1-2 views
19 13 $90.00 $31.31
73030 X-ray of shoulder, minimum of 2 views
19 14 $89.00 $31.28
73110 X-ray of wrist, minimum of 3 views
19 13 $104.00 $36.98
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
14 14 $120.00 $50.45
Q4010 Cast supplies, short arm cast, adult (11 years +), fiberglass
12 11 $46.00 $20.40
29075 Application of elbow to finger cast
12 11 $229.00 $78.61
73502 X-ray of hip, 2-3 views
12 11 $121.00 $42.61
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
11 11 $432.00 $149.74

Medical Specialties & State Licenses

CMS Verified: 2021-12-23
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

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

Commercial Insurance / Payer ID Npi
1861059784 (CA)

Practice Associates & Co-Workers

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

26 Associated Practitioners
Neilvon Langas

Physical Therapist

NPI 1174954366
Dr. Eli Sayegh , MD

Orthopaedic Surgery - Sports Medicine

NPI 1184001216

Doctor of Medicine (M.D.)

NPI 1205063369

PHYSICALTHERAPIST

Dr. Bradley Baum , MD

Orthopaedic Surgery

NPI 1205847654

Doctor of Medicine (M.D.)

NPI 1285645606

DPTOCSCSCS

Kevin Fryer

Physician Assistant

NPI 1295467447

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location November 29, 2020

Registered at 341 MAGNOLIA AVE STE 101, CORONA, CA 928793331 (Tel: 9517356060)

📍
Updated Business Mailing Address November 29, 2020

Registered at 341 MAGNOLIA AVE STE 101, CORONA, CA 928793331 (Tel: 9517356060)

NPI Profile Active May 27, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location May 27, 2019

Registered at 16851 TAVA LN, RIVERSIDE, CA 925045809 (Tel: 9519667631)

📍
Updated Business Mailing Address May 27, 2019

Registered at 16851 TAVA LN, RIVERSIDE, CA 925045809 (Tel: 9519667631)

👤
Provider Name / Credentials Updated May 27, 2019

Recorded as SEAN JACKSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 27, 2019

Physician Assistant

🟢
Initial NPI Registration & Enumeration May 27, 2019

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: 1861059784
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 27, 2019
Last Update: December 23, 2021
Sole Proprietor: Yes

Mailing Address

341 Magnolia Ave Ste 101

Corona, CA 928793331

Phone: 9517356060

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.