Tim Jackson
Case Manager/Care Coordinator • Santee, CA
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, Tim Jackson has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Tim Jackson was a registered Case Manager/Care Coordinator practicing in Santee, CA. Throughout an active medical career spanning 5 years, Tim Jackson provided care at the practice location at 8301 MISSION GORGE RD SPC 58 until profile deactivation on 2024-04-03.
Practice Location & Contact Primary Location
8301 Mission Gorge Rd Spc 58
Santee, CA 920713538
Specialty Benchmarks & Practice Insights
Comparative analytics for Case Manager/Care Coordinator in Santee, CA
Practicing in Santee, CA (23452 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 171M00000X
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on April 03, 2024
NPI status registered as active in NPPES database
Registered at 8301 MISSION GORGE RD SPC 58, SANTEE, CA 920713538 (Tel: 7603103048)
Registered at 10201 MISSION GORGE RD STE 0, SANTEE, CA 920713027 (Tel: 6193836868)
Recorded as TIM JACKSON
Case Manager/Care Coordinator
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
10201 Mission Gorge Rd Ste 0
Santee, CA 920713027
Phone: 6193836868
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