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

Individual provider Physician Assistant · NPI 1194419713

Michaela Jackson, PA-C is a Physician Assistant in Irvine, California. Qualified in 2023, 3 years ago. Practices with New York University, a 5,884-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
3
Licensed in
CA
In the registry since
2023
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1000 Fivepoint
Irvine, CA 92618-2377
Phone: (800) 826-4673
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3 E Shore, Laguna Niguel, CA 92677-4241 — (949) 275-7909

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA68443 (CA)

Record details

NPI number1194419713
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJune 6, 2023
Last updated in NPPESAugust 5, 2026
Certification dateAugust 5, 2026
Mailing addressPo Box 512185, Los Angeles, CA 90051-0185

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice New York University — 5884 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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