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Deactivated NPI 1114102324 Deactivated / Inactive NPI Male Practitioner

Ronald A Jackson

Case Management • Long Beach, 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, Ronald Jackson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 07, 2008
NPI Deactivation Date January 30, 2022
Total Practice Duration ~14 Years of Practice (2008 – 2022)

Professional Overview & Biography Verified Profile Summary

Ronald Jackson was a registered Case Management practicing in Long Beach, CA. Throughout an active medical career spanning 14 years, Ronald Jackson provided care at the practice location at 415 WEST OCEAN BLVD until profile deactivation on 2022-01-30.

Practice Location & Contact Primary Location

Practice Address

415 West Ocean Blvd
#100

Long Beach, CA 90802

Telephone 5624915811
Fax 5629835747

Specialty Benchmarks & Practice Insights

Comparative analytics for Case Management in Long Beach, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
19 Specialists

Practicing in Long Beach, CA (468 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 Management Primary Specialty

NUCC Taxonomy Code: 251B00000X

An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level.

Practice Associates & Co-Workers

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

17 Associated Practitioners
Ricky Spires

Case Management

NPI 1114100708
April Smith

Case Management

NPI 1184807646
Rosylind Davis

Case Management

NPI 1184807778
Janice Mcdaniel

Case Management

NPI 1225211824
Joe Raseknia

Case Management

NPI 1265615868
Cassandra Floyd Branch

Case Management

NPI 1356524961

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 January 30, 2022

Record deactivated on January 30, 2022

NPI Profile Active January 07, 2008

NPI status registered as active in NPPES database

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Updated Practice Location January 07, 2008

Registered at 415 WEST OCEAN BLVD, #100, LONG BEACH, CA 90802 (Tel: 5624915811)

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Updated Business Mailing Address January 07, 2008

Registered at 9150 EAST IMPERIAL HIGHWAY, ROOM P-31, DOWNEY, CA 90242 (Tel: 5629403694)

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Provider Name / Credentials Updated January 07, 2008

Recorded as RONALD JACKSON

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 07, 2008

Case Management

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Initial NPI Registration & Enumeration January 07, 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: 1114102324
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 07, 2008
Last Update: January 07, 2008
Deactivation Date: January 30, 2022

Mailing Address

9150 East Imperial Highway, Room P-31

Downey, CA 90242

Phone: 5629403694

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.