Mr. Bruce L Jackson, P.A.
Mr. Bruce L Jackson is a Medical Physician Assistant provider (Physician Assistant) practicing in Apple Valley, CA, registered in the NPPES registry with NPI 1124072087 since 2006. The credential PA stands for Physician Assistant.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1124072087 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Mr. Bruce L Jackson |
| Credential | P.A. |
| Sex | Male |
| Practice address | 15863 KASOTA RD, Apple Valley, CA, 92307 |
| Phone | 7609481454 |
| Fax | 7609486100 |
| Enumeration date | 2006-05-22 |
| Last updated in NPPES | 2007-07-08 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 363AM0700X | Medical Physician Assistant | Primary | PA14185 | CA |
PA — Physician Assistant: A licensed clinician who practices medicine in collaboration with physicians, trained in a graduate PA program. About the PA credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0050902 | Medicaid | CA | — |
Copy-ready billing details
Provider: Bruce Jackson, P.A. NPI: 1124072087 Taxonomy: 363AM0700X (Medical Physician Assistant) Address: 15863 KASOTA RD, Apple Valley, CA, 92307
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1154375053 | Craig Mueller | Individual | Family Medicine Physician | Apple Valley, CA |
| 1114037942 | Afp Drug Store Inc | Organization | Community/Retail Pharmacy | Apple Valley, CA |
| 1073647269 | Desert Family Practice Associates | Organization | Family Medicine Physician | Apple Valley, CA |
| 1316204241 | Afp Drugstore, Inc. | Organization | Community/Retail Pharmacy | Apple Valley, CA |
| 1699465732 | Unicare Community Health Center, Inc. | Organization | Federally Qualified Health Center (FQHC) | Apple Valley, CA |
Verify this record
Cross-check NPI 1124072087 against the authoritative CMS record: view Mr. Bruce L Jackson on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Where does Bruce Jackson practice?
What is the NPI number for Bruce Jackson?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2007-07-08.