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

Mr. Mikel James Jackson, ATC

Individual provider Athletic Trainer · NPI 1679994263

Mr. Mikel James Jackson, ATC is an Athletic Trainer in Oakland, California. Registered with an NPI since 2013.

In the registry since
2013
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

1832 101st Ave
Oakland, CA 94603-3304
Phone: (408) 799-1230
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X

Record details

NPI number1679994263
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorNo
NPI enumeratedDecember 26, 2013
Last updated in NPPESDecember 26, 2013

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