DR. TAIJUANA JACKSON M.D., M.S.
NPI 1689930844
Student in an Organized Health Care Education/Training Program in Sacramento, CA

NPI Status: Active since April 02, 2012

Contact Information

4150 V ST
#1110
SACRAMENTO, CA
ZIP 95817
Phone: (916) 734-2737

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  • Individual
  • Female
  • Years of Experience 14
  • Student in an Organized Health Care Educ...
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About TAIJUANA JACKSON

This page provides the complete NPI Profile along with additional information for Taijuana Jackson, a primary care provider established in Sacramento, California with a medical specialization in Student In An Organized Health Care Education/training Program and more than 14 years of experience. She graduated from Albert Einstein College Of Medicine Of Yeshiva University in 2012. The healthcare provider is registered in the NPI registry with number 1689930844 assigned on April 2012. The practitioner's primary taxonomy code is 390200000X. The provider is registered as an individual and her NPI record was last updated 4 years ago.

NPI
1689930844
Provider Name
DR. TAIJUANA JACKSON M.D., M.S.
Gender
Female
Entity Type
Individual
Location Address
4150 V ST #1110 SACRAMENTO, CA 95817
Location Phone
(916) 734-2737
Mailing Address
4150 V ST #1110 SACRAMENTO, CA 95817
Mailing Phone
(916) 734-2737
Medical School Name
ALBERT EINSTEIN COLLEGE OF MEDICINE OF YESHIVA UNIVERSITY
Graduation Year
2012
Is Sole Proprietor?
Yes
Enumeration Date
04-02-2012
Last Update Date
02-11-2022
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A primary care provider (PCP) like Taijuana Jackson sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Student in an Organized Health Care Education/Training Program

Taxonomy Code
390200000X
Type
Student, Health Care
Taxonomy Description
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Medicare Participation & PECOS Enrollment Status

Taijuana Jackson is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Taijuana Jackson is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 7113221607

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20160203001367

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Reviews for DR. TAIJUANA JACKSON M.D., M.S.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1689930844
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26169183088
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 6 + 9 + 1 + 8 + 3 + 0 + 8 + 8 + 24 = 76
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 76 = 44

The NPI number 1689930844 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1295716090DR. MARK MITSUYUKI MORIWAKI M.D.
Individual
Internal Medicine (Endocrinology, Diabetes & Metabolism)4150 V ST SUITE G400
SACRAMENTO, CA 95817
(916) 734-3730
1134100993 PETER ERIK SOKOLOVE M.D.
Individual
Emergency Medicine4150 V ST UCDMC EMERGENCY MEDICINE, PSSB 2100
SACRAMENTO, CA 95817
(916) 734-1534
1649251133DR. ANDREW I-WEI CHIN MD
Individual
Internal Medicine (Nephrology)4150 V ST SUITE 3500
SACRAMENTO, CA 95817
(916) 734-3774
1902887433DR. ROBERT W DERLET MD
Individual
Emergency Medicine4150 V ST #2100
SACRAMENTO, CA 95817
(916) 734-8249
1225019698DR. AMAN KIRIT PARIKH M.D.
Individual
Emergency Medicine4150 V ST SUITE 2100
SACRAMENTO, CA 95817
(916) 734-8583
1295717502PROF. TIMOTHY JOHN TAUTZ M.D.
Individual
Anesthesiology4150 V ST PSSB SUITE #1200
SACRAMENTO, CA 95817
(916) 735-2874
1144202813 DAVID ALLAN WHITE M.D.
Individual
Anesthesiology4150 V ST 1200 PSSB UCDMC
SACRAMENTO, CA 95817
(916) 734-7985
1861475287DR. JOSEPH W LEUNG M.D.
Individual
Internal Medicine (Gastroenterology)4150 V ST SUITE 3500, PSSB
SACRAMENTO, CA 95817
(916) 734-7224
1033192315DR. RICHARD MICHAEL RIVERA M.D.
Individual
Anesthesiology4150 V ST PSSB SUITE 1200
SACRAMENTO, CA 95817
(916) 734-7985
1255314399DR. HERSHAN SINGH JOHL MD
Individual
Internal Medicine4150 V ST SUITE 3400
SACRAMENTO, CA 95817
(916) 734-7506
1689657512 NICHOLAS J KENYON M.D.
Individual
Internal Medicine (Critical Care Medicine)4150 V ST SUITE 3400
SACRAMENTO, CA 95817
(916) 734-3564
1063495935DR. SUSAN MURIN MD
Individual
Internal Medicine4150 V ST SUITE 3400
SACRAMENTO, CA 95817
(916) 734-3564
1336122068 JAIYONG CHOI M.D.
Individual
Anesthesiology4150 V ST PSSB 1200
SACRAMENTO, CA 95817
(916) 734-5169
1013991553DR. DIANE HADDOCK M.D.
Individual
Internal Medicine4150 V ST #3116
SACRAMENTO, CA 95817
(916) 734-7080
1689658122DR. JESSICA KEANE M.D.
Individual
Internal Medicine4150 V ST #3116
SACRAMENTO, CA 95817
(916) 734-7080
1750365144 CRAIG RAYMOND KEENAN M.D.
Individual
Internal Medicine4150 V ST SUITE 2400
SACRAMENTO, CA 95817
(916) 734-7500
1659355980 RICHART WILLIAM HARPER M.D.
Individual
Internal Medicine (Pulmonary Disease)4150 V ST SUITE 3400
SACRAMENTO, CA 95817
(916) 734-3564
1598749848DR. JAMES D KIRK MD
Individual
Emergency Medicine4150 V ST PSSB SUITE 2100
SACRAMENTO, CA 95817
(916) 734-5010
1235113549DR. KERRY FRANCIS MCMAHON MD
Individual
Emergency Medicine4150 V ST #2100
SACRAMENTO, CA 95817
(916) 734-0404
1417931387UNIVERSITY OF CALIFORNIA, DAVIS
Organization
General Acute Care Hospital4150 V ST PSSB G500
SACRAMENTO, CA 95817
(916) 734-8695

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1689930844, enumerated in the NPI registry as an "individual" on April 02, 2012

The provider is located at 4150 V St #1110 Sacramento, Ca 95817 and the phone number is (916) 734-2737

The provider's speciality is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X

The provider has more than 14 years of experience. She graduated from Albert Einstein College Of Medicine Of Yeshiva University in 2012.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

This NPI record was last updated on April 02, 2012. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.