Taylor Buchanan Jackson, FNP
Nurse Practitioner · San Diego, CA
Taylor Buchanan Jackson, FNP is a nurse practitioner with a practice address in San Diego, California, and NPI 1205292455, issued on Jan 4, 2016. Check the license (California 95003121, as entered in NPPES) with the California board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Taylor Buchanan Jackson
- Credential
- FNP
- Primary taxonomy
- Nurse Practitioner 363L00000X
- License numbers
- 95003121 CA
5017962 NC
R190900 MD
Self-reported in NPPES; status is on the state search - Practice location
- 4510 Executive Dr Ste 215, San Diego, CA 92121
- Phone
- (858) 657-6624
- Enumerated
- Jan 4, 2016
- Record last updated
- Jul 24, 2024
- Medicare enrollment
- Enrolled (PECOS I20230809000563); accepts Medicare assignment
- Medical or professional school
- University Of Maryland School Of Medicine, 2015
- Entity
- Type 1 · individual
8 nearest nurse practitioner records → All 8,223 in California → Look up another NPI →
Also registered at 4510 Executive Dr Ste 215
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Jang Hwan Bae, D.O.Family Medicine Physician1730614249
- Marina Udowenko, D. O.Family Medicine Physician1831328616
- Anna Van Niekerk, DOFamily Medicine Physician1265820112
Verify Taylor Buchanan Jackson in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich California board licenses this profession
Search for license 95003121Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Industry payments in 2024: $23.69
1 payment: food and beverage; the largest payer was Astellas Pharma US Inc. The 38,884 providers of this specialty with any payment received $791.64 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Novant Health Medical Group Coastal Region LLCWilmington, NC
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Taylor Buchanan Jackson among 8,223 nurse practitioner records in California
Taylor Buchanan Jackson, FNP is one of 8,223 nurse practitioner records with a practice address in California. 65% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2016, is newer than 48% of them.
- NPI issued2016 · 48% of these records are older, 48% newer
- In a Medicare fileYes · 65% of these records are
- In the CMS Doctors and Clinicians fileYes · 42% of these records are
- Graduated2015 · median 2017 among the 3,425 with a school on file
- Record last updated2024 · 45% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363L00000X and a California practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Nurse Practitioner providers in California
There are 8,223 nurse practitioner records in California.
All 8,223 in California → Every provider in San Diego → Nurse Practitioner nationwide →
The 8 nurse practitioner records with the nearest ZIP codes
- Nancy Canty, N.P.San Diego, CA 921211285608331
- Elizabeth Chantala, NPSan Diego, CA 921211942430442
- Mackenzie CypherSan Diego, CA 921211114432101
- Emily Gruber, FNP-CSan Diego, CA 921211528455433
- Brittany Jarrell, AGPCNP-BCSan Diego, CA 921211558781112
- Vanda Lops, CNMSan Diego, CA 921211205160686
- Donna McIntyre, NPSan Diego, CA 921211629310032
- Rebecca Prakash, CRNPSan Diego, CA 921211164963716
Common questions
What is Taylor Buchanan Jackson, FNP's NPI number?
Taylor Buchanan Jackson, FNP's National Provider Identifier (NPI) is 1205292455, issued on Jan 4, 2016. An NPI identifies a provider in billing; it is not a license.
Where is Taylor Buchanan Jackson, FNP located?
The NPPES record lists a practice address at 4510 Executive Dr Ste 215, San Diego, CA, 92121. Phone: (858) 657-6624. Providers update this record themselves, so call before visiting.
How can I verify Taylor Buchanan Jackson, FNP's license?
NPPES lists California license number 95003121, as entered by the provider. Search the California board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.