Charles Jackson

NPI 1730167917 · on the registry since 2006

Practice

Address: 34800 Bob Wilson Drive
Naval Medical Center, San Diego
San Diego, CA 92134
Phone: (619) 524-4904
Organisation at this address: Usn
Nmcsd
Nmcsd
Nmcsd
Us Navy
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 1,476

Registry record

Primary taxonomy: 231H00000X
231H00000X
Licence states on file: PA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2026-07-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California