Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Scott Aaron Jackson, MS, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1356494934

Mr. Scott Aaron Jackson, MS, CCC-SLP is a Qualified Speech Language Pathologist in Fairfield, California. Qualified in 1993, 33 years ago. Practices with Northbay Physicians Surgery Center, LLC, a 337-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
33
Licensed in
CA
In the registry since
2007
What do these letters mean?
MS — Master of Science
A graduate science degree.
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

755 Fallen Leaf Ct
Fairfield, CA 94534-4038
Phone: (707) 646-4150
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 10401 (CA)

Record details

NPI number1356494934
Entity typeIndividual (Type 1)
GenderMale
Credentials MS , CCC-SLP
Sole proprietorYes
NPI enumeratedJanuary 18, 2007
Last updated in NPPESApril 16, 2014

Medicare enrollment

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

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 1993 (33 years in practice)
Group practice Northbay Physicians Surgery Center, Llc — 337 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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