Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1932672342 Deactivated / Inactive NPI Male Practitioner

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.

Registration / Start Date January 08, 2019
NPI Deactivation Date April 03, 2024
Total Practice Duration ~5 Years of Practice (2019 – 2024)

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

Practice Address

8301 Mission Gorge Rd Spc 58

Santee, CA 920713538

Telephone 7603103048

Specialty Benchmarks & Practice Insights

Comparative analytics for Case Manager/Care Coordinator in Santee, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.8 Yrs
Regional Practice Density
12 Specialists

Practicing in Santee, CA (23452 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 Manager/Care Coordinator Primary Specialty

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

7 Historical Events
⚠️
NPI Profile Deactivated April 03, 2024

Record deactivated on April 03, 2024

NPI Profile Active January 08, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location January 08, 2019

Registered at 8301 MISSION GORGE RD SPC 58, SANTEE, CA 920713538 (Tel: 7603103048)

📍
Updated Business Mailing Address January 08, 2019

Registered at 10201 MISSION GORGE RD STE 0, SANTEE, CA 920713027 (Tel: 6193836868)

👤
Provider Name / Credentials Updated January 08, 2019

Recorded as TIM JACKSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 08, 2019

Case Manager/Care Coordinator

🟢
Initial NPI Registration & Enumeration January 08, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Tim Jackson. Be the first to share your experience!

Sign in to leave a review for Tim Jackson

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1932672342
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 08, 2019
Last Update: January 08, 2019
Deactivation Date: April 03, 2024

Mailing Address

10201 Mission Gorge Rd Ste 0

Santee, CA 920713027

Phone: 6193836868

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.