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

Individual provider Physician Assistant · NPI 1770711459

Mrs. Danielle Leenora Jackson, PA-C is a Physician Assistant in Oakland, California. Qualified in 2008, 18 years ago. Practices with La Clinica De La Raza Inc, a 131-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
18
Licensed in
CA
In the registry since
2009
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

1450 Fruitvale Ave
Oakland, CA 94601-2313
Phone: (510) 535-4110
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA21525 (CA)

Record details

NPI number1770711459
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJuly 1, 2009
Last updated in NPPESApril 28, 2026
Certification dateApril 28, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice La Clinica De La Raza Inc — 131 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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