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Deactivated NPI 1760670608 Deactivated / Inactive NPI Female Practitioner

Opaline Jackson

Rehabilitation Practitioner • Fresno, 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, Opaline Jackson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 04, 2007
NPI Deactivation Date September 27, 2018
Total Practice Duration ~11 Years of Practice (2007 – 2018)

Professional Overview & Biography Verified Profile Summary

Opaline Jackson was a registered Rehabilitation Practitioner practicing in Fresno, CA. Throughout an active medical career spanning 11 years, Opaline Jackson provided care at the practice location at 205 N BLACKSTONE AVE until profile deactivation on 2018-09-27.

Practice Location & Contact Primary Location

Practice Address

205 N Blackstone Ave

Fresno, CA 937011914

Telephone 5594980241
Fax 5594980241
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Rehabilitation Practitioner in Fresno, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 23.6 Yrs
Regional Practice Density
121 Specialists

Practicing in Fresno, CA (14127 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

Rehabilitation Practitioner Primary Specialty

NUCC Taxonomy Code: 225400000X

A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

Practice Associates & Co-Workers

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

17 Associated Practitioners
Lillie Johnson

Rehabilitation Practitioner

NPI 1043367360
Eleanor Granados

Counselor - Mental Health

NPI 1043476534
Dutch Epperson

Rehabilitation Practitioner

NPI 1093862500
Anthony Elisalde

Rehabilitation Practitioner

NPI 1134276702
Eric Mendez

Rehabilitation Practitioner

NPI 1275680969
Nannette Smith

Rehabilitation Practitioner

NPI 1316094998

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 September 27, 2018

Record deactivated on September 27, 2018

NPI Profile Active October 04, 2007

NPI status registered as active in NPPES database

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Updated Practice Location October 04, 2007

Registered at 205 N BLACKSTONE AVE, FRESNO, CA 937011914 (Tel: 5594980241)

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Updated Business Mailing Address October 04, 2007

Registered at 205 N BLACKSTONE AVE, FRESNO, CA 937011914 (Tel: 5594980241)

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Provider Name / Credentials Updated October 04, 2007

Recorded as OPALINE JACKSON

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 04, 2007

Rehabilitation Practitioner

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Initial NPI Registration & Enumeration October 04, 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: 1760670608
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 04, 2007
Last Update: October 04, 2007
Deactivation Date: September 27, 2018

Mailing Address

205 N Blackstone Ave

Fresno, CA 937011914

Phone: 5594980241

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.