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

Mrs. Janette Lee Jackson, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1639390578

Mrs. Janette Lee Jackson, PHYSICIANASSISTANT is a Physician Assistant in Los Angeles, California. Qualified in 2000, 26 years ago. Practices with Camarena Health, a 82-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
26
Licensed in
CA
In the registry since
2007
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2618 S Western Ave
Los Angeles, CA 90018
Phone: (323) 730-9000
Fax: (323) 730-4825
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 16118 (CA)

Record details

NPI number1639390578
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedMay 1, 2007
Last updated in NPPESOctober 15, 2019

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Camarena Health — 82 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Los Angeles