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

Individual provider Surgical Physician Assistant · NPI 1700224011

Titus Clinton Jackson, PA-C is a Physician Assistant in Los Angeles, California. Qualified in 2013, 13 years ago. Practices with Cedars-Sinai Medical Center, a 795-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
13
Licensed in
CA
In the registry since
2013
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

444 S San Vicente Blvd Ste 603
Los Angeles, CA 90048-4178
Phone: (310) 423-4566
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8700 Beverly Blvd, West Hollywood, CA 90048-1804 — (310) 423-4566

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 99220 (CA)

Record details

NPI number1700224011
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 8, 2013
Last updated in NPPESMarch 1, 2024
Certification dateMarch 1, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Cedars-Sinai Medical Center — 795 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Los Angeles