MEDICARE: SARA L JACKSON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	NP95016889	CA

General Provider Information

NPI Number	:	1689223646
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARA L JACKSON

Provider Business Mailing Address
First Line	:	5562 PHILADELPHIA ST STE 301
Second Line	:
City	:	CHINO
State	:	CA
Zip	:	91710-2499
Country	:	US
Telephone Number	:	713-589-5283
Fax Number	:

Provider Business Practice Location Address
First Line	:	5562 PHILADELPHIA ST STE 303
Second Line	:
City	:	CHINO
State	:	CA
Zip	:	91710-2499
Country	:	US
Telephone Number	:	148-684-3712
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/11/2019
Last Update Date	:	05/27/2021

Similar Medicare Providers

1336811561 — KIRANJEET KAUR FNP-C
Practice Location Address:

5562 PHILADELPHIA ST STE 310
CHINO, CA
91710-2499

Practice Phone: 909-429-2864
Practice Fax:

1942740832 — ANGELA SOLLEDER FNP
Practice Location Address:

5562 PHILADELPHIA ST STE 301
CHINO, CA
91710-2499

Practice Phone: 713-589-5283
Practice Fax:

1053845180 — SERENA LEE
Practice Location Address:

5562 PHILADELPHIA ST STE 211
CHINO, CA
91710-2499

Practice Phone: 909-548-0557
Practice Fax:

1104391200 — JOEL LOPEZ
Practice Location Address:

5562 PHILADELPHIA ST STE 301
CHINO, CA
91710-2499

Practice Phone: 214-868-4371
Practice Fax:

1194356840 — LIANG DENTAL GROUP INC
Practice Location Address:

5562 PHILADELPHIA ST STE 211
CHINO, CA
91710-2499

Practice Phone: 909-945-3656
Practice Fax: 909-464-1653

1922625375 — TAMMIE LIU TSURUOKA FNP-C
Practice Location Address:

5562 PHILADELPHIA ST STE 301
CHINO, CA
91710-2499

Practice Phone: 713-589-5283
Practice Fax:

Directions to “ SARA L JACKSON ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.