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

Jackson Christopher Shampo

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1104400027

Jackson Christopher Shampo is an Emergency Medicine in New Haven, Connecticut. Graduated from Loma Linda University School of Medicine in 2022, 4 years ago. Works from 2 locations.

Years since qualifying
4
Trained at
Loma Linda University School of Medicine
In the registry since
2021
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Practice location Address checks out

20 York St
New Haven, CT 06510-3220
Phone: (203) 688-4242
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 11175 Campus St, Loma Linda, CA 92350-1700 — (909) 558-4729

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1104400027
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 6, 2021
Last updated in NPPESMay 2, 2022
Certification dateMay 2, 2022

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolLOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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