Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Charles William Jackson, MD

Individual provider General Practice Physician · NPI 1083662845

Dr. Charles William Jackson, MD is a Family Practice in Huntington Beach, California. Qualified in 1976, 50 years ago. Accepts Medicare assignment. Licensed in California.

Years since qualifying
50
Licensed in
CA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

17122 Beach Blvd Ste 102
Huntington Beach, CA 92647-5992
Phone: (714) 847-6545
Fax: (714) 847-6547
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence G35311 (CA)

Record details

NPI number1083662845
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 4, 2006
Last updated in NPPESJuly 30, 2010

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1976 (50 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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