Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1164058657 Individual Practitioner Male Practitioner

Robert Romulus Jackson

Rehabilitation Practitioner • Sylmar, CA

Professional Overview & Biography Verified Profile Summary

Robert Jackson is a registered healthcare professional specializing in Rehabilitation Practitioner in Sylmar, CA. Practice services are available at 11600 ELDRIDGE AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

11600 Eldridge Ave

Sylmar, CA 913426506

Telephone 6612089964

Specialty Benchmarks & Practice Insights

Comparative analytics for Rehabilitation Practitioner in Sylmar, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 23.6 Yrs
Regional Practice Density
21 Specialists

Practicing in Sylmar, CA (14127 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

CMS Verified: 2025-06-10
Rehabilitation Practitioner Primary Specialty

NUCC Taxonomy Code: 225400000X

A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

Case Manager/Care Coordinator

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.

Practice Associates & Co-Workers

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

23 Associated Practitioners
Orli Behboudikha

Student in an Organized Health Care Education/Training Program

NPI 1013606441
Israel El'shaddai

Counselor - Addiction (Substance Use Disorder)

NPI 1063064434
Elizabeth Rousseau

Marriage & Family Therapist

NPI 1063068203
Leslie Arango , BA

Student in an Organized Health Care Education/Training Program

NPI 1063303162

Bachelor of Arts

Jenny Lemus

Counselor - Addiction (Substance Use Disorder)

NPI 1073778387
Stephany Reyes

Student in an Organized Health Care Education/Training Program

NPI 1144996604

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active March 17, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location March 17, 2020

Registered at 11600 ELDRIDGE AVE, SYLMAR, CA 913426506 (Tel: 6612089964)

📍
Updated Business Mailing Address March 17, 2020

Registered at 11600 ELDRIDGE AVE, SYLMAR, CA 913426506 (Tel: 6612089964)

👤
Provider Name / Credentials Updated March 17, 2020

Recorded as ROBERT JACKSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2020

Case Manager/Care Coordinator

🟢
Initial NPI Registration & Enumeration March 17, 2020

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: 1164058657
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 17, 2020
Last Update: June 10, 2025
Sole Proprietor: No

Mailing Address

11600 Eldridge Ave

Sylmar, CA 913426506

Phone: 6612089964

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.