Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Michael Deangelo Jackson, NURSEPRACTITIONER

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1821879958

Michael Deangelo Jackson, NURSEPRACTITIONER is a Nurse Practitioner in Chula Vista, California. Qualified in 2023, 3 years ago. Practices with Community Research Foundation Inc, a 64-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
3
Licensed in
CA
In the registry since
2023
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Practice location Address checks out

1061 Tierra Del Rey Ste 200
Chula Vista, CA 91910-7881
Phone: (855) 501-1004
Show map & directions

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 333 W Broadway Ste 310, Long Beach, CA 90802-4438 — (562) 491-6465
  • 1201 Morena Blvd Ste 100, San Diego, CA 92110-3814 — (619) 398-0355

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 95027684 (CA)

Record details

NPI number1821879958
Entity typeIndividual (Type 1)
GenderMale
Credentials NURSEPRACTITIONER
Sole proprietorYes
NPI enumeratedOctober 13, 2023
Last updated in NPPESSeptember 28, 2026
Certification dateSeptember 28, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Community Research Foundation Inc — 64 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Payments from drug and device companies, 2025

Drug and device makers are required by federal law (the Physician Payments Sunshine Act) to report what they pay or give to clinicians, and CMS publishes the reports as Open Payments. This is the 2025 program year. A report is a record of a payment, not an allegation of anything, and many are small items such as meals. Only general payments are listed here; research payments and ownership or investment interests are reported separately by CMS and are not shown.

Food and Beverage $16 1 payment · a meal or drink at a meeting or visit, not a fee

Each amount is the sum of what companies reported for that kind of payment in 2025, rounded to the dollar. Not all of it is income to the clinician: a meal is not a fee, a charitable contribution goes to a charity, and a royalty or an acquisition payment is not a salary.

Check a report, or dispute one, at the source in CMS’s own tool, Open Payments. Corrections go through CMS’s dispute process. This site removes a home address on request and asks for no proof, because that is privacy; it will not remove an accurate payment report on request, because that is a statutory public disclosure.

Colleagues at Community Research Foundation Inc

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 64 clinicians in the practice; 12 are shown here.

Other providers in Chula Vista