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Active NPI 1770711459 Individual Practitioner Female Practitioner

Danielle Leenora Jackson , PA-C

Physician Assistant • Oakland, CA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Danielle Jackson, PA-C is a certified Physician Assistant practicing in Oakland, CA. With approximately 18 years of clinical experience since completing medical education in 2008, Danielle Jackson delivers high-quality medical care to the local community at 1450 FRUITVALE AVE.

Danielle Jackson is affiliated with La Clinica De La Raza Inc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

1450 Fruitvale Ave

Oakland, CA 946012313

Telephone 5105354110
Associated Practice Facility / Clinic
🏢 La Clinica De La Raza, Inc. Facility NPI 1770902314

Medicare Profile & Education

Medical School

Other

Graduation Year

2008

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Oakland, CA

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
18 Yrs +7.5 yrs vs City Avg
City Avg: 10.5 Yrs
State Avg: 11.5 Yrs
Regional Practice Density
170 Specialists

Practicing in Oakland, CA (14617 Statewide)

Telehealth Adoption Rate
7.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Jackson (18 Years) 18 Yrs
Oakland Specialty Average (10.5 Years) 10.5 Yrs

Medical Specialties & State Licenses

CMS Verified: 2026-04-28
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License CA PA21525

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.

Hospital & Practice Group Affiliations

La Clinica De La Raza Inc

2000 Sierra Rd, Concord, CA 945182905

Phone: 9253632000

Practice Associates & Co-Workers

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

8 Associated Practitioners
Reanna Rodriguez , RDH

Dental Hygienist

NPI 1033517198

Registered Dental Hygienist

NPI 1457454761

Doctor of Medicine (M.D.)

NPI 1497082739

Doctor of Dental Surgery

Erin Rodden , FNP

Nurse Practitioner - Family

NPI 1710710231

Family Nurse Practitioner

P'shana Bolden , LCSW

Social Worker - Clinical

NPI 1790084044

Licensed Clinical Social Worker

Araceli Huerta

Community Health Worker

NPI 1790541159

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location April 28, 2026

Registered at 1450 FRUITVALE AVE, OAKLAND, CA 946012313 (Tel: 5105354110)

📍
Updated Business Mailing Address April 28, 2026

Registered at 1450 FRUITVALE AVE, OAKLAND, CA 946012313 (Tel: 5105354110)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 28, 2026

Physician Assistant (License #PA21525 in CA)

NPI Profile Active January 09, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location January 09, 2013

Registered at 630 DRAKE AVE, SAUSALITO, CA 949651107 (Tel: 4153398813)

📍
Updated Business Mailing Address January 09, 2013

Registered at 630 DRAKE AVE, SAUSALITO, CA 949651107 (Tel: 4153398813)

👤
Provider Name / Credentials Updated January 09, 2013

Recorded as DANIELLE JACKSON, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 09, 2013

Physician Assistant (License #C0003980 in MD)

🟢
Initial NPI Registration & Enumeration July 01, 2009

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: 1770711459
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 01, 2009
Last Update: April 28, 2026
Sole Proprietor: Yes

Mailing Address

1450 Fruitvale Ave

Oakland, CA 946012313

Phone: 5105354110

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.