Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Brian Jeffry Jackson, NP

Family Nurse Practitioner in Newport Beach, CA · enumerated 2019.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1174080030

Verified

See something wrong? Report a correction

Registry record

Entity type Individual (Type 1)

Name Brian Jeffry Jackson

Credential NP

Sex Male

Practice address 2075 San Joaquin Hills Rd, Newport Beach, CA, 92660

Phone (949) 760-9222

Enumeration date Feb 27, 2019

Last updated in NPPES Oct 3, 2019

Taxonomy & licenses

363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License NP95010531 (CA) Primary

NP · Nurse Practitioner: An advanced practice registered nurse with graduate training, licensed to diagnose and treat, often with prescriptive authority. About the NP credential

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 → Validate an NPI →

Frequently asked questions

What is the NPI number for Brian Jackson?

The National Provider Identifier (NPI) for Brian Jackson is 1174080030, a Type 1 (individual) record in the CMS NPPES registry.

Where does Brian Jackson practice?

The practice location on file with NPPES is in Newport Beach, CA. Providers can have multiple locations; NPPES lists the primary practice address.

Other providers at this practice address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-10-03.