Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1215235866 Individual Practitioner Male Practitioner

Paul Jackson

Peer Specialist • Riverside, CA

Professional Overview & Biography Verified Profile Summary

Paul Jackson is a registered healthcare professional specializing in Peer Specialist in Riverside, CA. Practice services are available at 9890 COUNTY FARM RD STE 2 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

9890 County Farm Rd Ste 2

Riverside, CA 92503

Telephone 9515092499
Associated Practice Facility / Clinic
🏢 Telecare Corporation Facility NPI 1790410868

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Riverside, CA

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

Practicing in Riverside, CA (4567 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

Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Secondary Practice Locations

620 N Ash St

Escondido, CA 920271902

Phone: 7607417708

620 N Ash St

Escondido, CA 920271902

Phone: 7607417708

Practice Associates & Co-Workers

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

40 Associated Practitioners
Birch Hartel , PSS

Peer Specialist

NPI 1013676246
Dr. Marlene Ferreras , PhD, AMFT

Marriage & Family Therapist

NPI 1013788314

Doctor of Philosophy (Ph.D.), Associate Marriage and Family Therapist

Ashley Hamilton , LVN

Licensed Vocational Nurse

NPI 1023848710

Licensed Vocational Nurse

Lisa Dockery , PT

Licensed Psychiatric Technician

NPI 1023905361

Physical Therapist

Angelica Hardy

Peer Specialist

NPI 1023906633
Colene Roberts

Counselor - Mental Health

NPI 1043738099

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location April 24, 2019

Registered at 9890 COUNTY FARM RD STE 2, RIVERSIDE, CA 92503 (Tel: 9515092499)

📍
Updated Business Mailing Address April 24, 2019

Registered at 9825 MAGNOLIA AVE STE B, RIVERSIDE, CA 925033565

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 24, 2019

Peer Specialist

NPI Profile Active March 07, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location March 07, 2011

Registered at 620 N ASH ST, ESCONDIDO, CA 920271902 (Tel: 7607417708)

📍
Updated Business Mailing Address March 07, 2011

Registered at 318 W 7TH AVE, ESCONDIDO, CA 920254835 (Tel: 7607417708)

👤
Provider Name / Credentials Updated March 07, 2011

Recorded as PAUL JACKSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 07, 2011

Counselor

🟢
Initial NPI Registration & Enumeration March 07, 2011

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: 1215235866
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 07, 2011
Last Update: April 24, 2019
Sole Proprietor: No

Mailing Address

9825 Magnolia Ave Ste B

Riverside, CA 925033565

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.