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Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Jackson Tea, MSN, PMHNP-BC

Psychiatric/Mental Health Nurse Practitioner in Anaheim, CA · enumerated 2025 · practices at Coast Medical, PC.

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

National Provider Identifier

1477365997

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Registry record

Entity type Individual (Type 1)
Name Jackson Tea
Credential MSN, PMHNP-BC
Sex Male
Practice address Anaheim, CA, 92804
Phone (714) 683-1472
Fax (714) 683-1473
Enumeration date Jan 22, 2025
Last updated in NPPES Apr 15, 2025

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

363LP0808X Psychiatric/Mental Health Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License 95033550 (CA) Primary

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.

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Frequently asked questions

Is NPI 1477365997 active?
Yes, as of the latest NPPES snapshot, NPI 1477365997 is active (record last updated 2025-04-15).
How do I verify Jackson Tea's NPI record?
Cross-check NPI 1477365997 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-04-15.