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

Mr. Bruce L Jackson, PA

Individual provider Medical Physician Assistant · NPI 1124072087

Mr. Bruce L Jackson, PA is a Physician Assistant in Apple Valley, California. Graduated from University of Southern California Keck School of Medicine in 1994, 32 years ago. Practices with Unicare Community Health Center, Inc, a 65-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
32
Trained at
University of Southern California Keck School of Medicine
Licensed in
CA
In the registry since
2006
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

15863 Kasota Rd
Apple Valley, CA 92307-4507
Phone: (760) 948-1454
Fax: (760) 948-6100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA14185 (CA)

Record details

NPI number1124072087
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 22, 2006
Last updated in NPPESJuly 13, 2026
Mailing address11919 Hesperia Rd, Hesperia, CA 92345-1855

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduated 1994 (32 years in practice)
Group practice Unicare Community Health Center, Inc. — 65 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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