DR. GAIL N JACKSON (M.D) – Gynecology Physician, NPI 1063401958

DR. GAIL N JACKSON (M.D) is a healthcare provider. based in Los angeles, California. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials M.D. They hold a License No. G41783 (CA). The NPI Number for DR. GAIL N JACKSON (M.D) is 1063401958

Main info

Female
48 Years Of Experience
Accepts Medicare Assignment
Name
DR. GAIL N JACKSON (M.D)
NPI
1063401958
Phone
(310) 659-2666
Address
8635 W 3RD ST
Enumeration Date
14 October 2005
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
HOWARD UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
-
Graduation Year
1978 (48 years ago)
PAC ID
5698836690
Professional Enrollment ID
I20081209000708
Address ID
CA913072650WE22736STXX307
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

4,008 OBSTETRICS/GYNECOLOGY in CA

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Provider Addresses for DR. GAIL N JACKSON (M.D)

  • West Medical Office Tower, 8635, West 3rd Street, Beverly Grove, Los Angeles, Los Angeles County, California, 90211, United States

    SUITE 680 WEST

    LOS ANGELES, CA 900486101

    Phone: (310) 659-2666

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-12-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20081209000708IObstetrics/GynecologyCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 90048)

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Reviews

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Frequently asked questions

Can I cross-check DR. GAIL N JACKSON (M.D) using NPI 1063401958?
NPI 1063401958 belongs to DR. GAIL N JACKSON (M.D); compare other details if you need extra assurance.
Would DR. GAIL N JACKSON (M.D) appear as active to a payer?
You can treat DR. GAIL N JACKSON (M.D) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with DR. GAIL N JACKSON (M.D)?
DR. GAIL N JACKSON (M.D)'s record emphasizes Gynecology Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. GAIL N JACKSON (M.D)?
Directory geography for DR. GAIL N JACKSON (M.D) centers on Los Angeles, California.
Does DR. GAIL N JACKSON (M.D) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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