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

Mark Jackson

Individual provider Adult Companion · NPI 1083585517

Mark Jackson is an Adult Companion in Galt, California. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

814 C St
Galt, CA 95632-1705
Phone: (916) 494-8282
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Companion (primary) Taxonomy 372600000X

Record details

NPI number1083585517
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 17, 2025
Last updated in NPPESSeptember 17, 2025
Certification dateSeptember 16, 2025
Mailing address814 C St, Galt, CA 95632-1705

Other providers in Galt