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

Edgar J Jackson, PA

Individual provider Physician Assistant · NPI 1548386790

Edgar J Jackson, PA is a Physician Assistant in Baldwin Park, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1011 Baldwin Park Blvd
Baldwin Park, CA 91706-5806
Phone: (626) 851-1011
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA10556 (CA)

Record details

NPI number1548386790
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedMarch 21, 2007
Last updated in NPPESSeptember 23, 2008
Mailing address1011 Baldwin Park Blvd, Baldwin Park, CA 91706-5806

Other providers in Baldwin Park