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

Sean Jackson

Individual provider Physician Assistant · NPI 1861059784

Sean Jackson is a Physician Assistant in Corona, California. Practices as a sole proprietor. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

341 Magnolia Ave Ste 101
Corona, CA 92879-3331
Phone: (951) 735-6060
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1861059784
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 27, 2019
Last updated in NPPESDecember 23, 2021
Certification dateDecember 23, 2021
Mailing address341 Magnolia Ave Ste 101, Corona, CA 92879-3331

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