Individual
DR. JACKSON MICHAEL ROWLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1400 EMELINE AVE, SANTA CRUZ, CA 95060-1976
(831) 454-4971
(831) 454-4663
Mailing address
1400 EMELINE AVE, SANTA CRUZ, CA 95060-1976
(831) 454-4170
(831) 454-4663
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
A71024
CA
2084F0202X
Forensic Psychiatry Physician
A71024
CA
2084P0800X
Psychiatry Physician
Primary
A71024
CA
2084P0804X
Child & Adolescent Psychiatry Physician
A71024
CA
2084P0805X
Geriatric Psychiatry Physician
A71024
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A71024
PROFESSIONAL PHYSCIAN & SURGEON NUMBER
CA
01
—
FHC 70042F
SANTA CRUZ COUNTY HSA-MHSAS MEDI-CAL PROVIDER #
CA
01
—
FHC 70044F
SANTA CRUZ COUNTY HSA-MHSAS MEDI-CAL PROVIDER #
CA
01
—
ZZZ91891Z
SANTA CRUZ COUNTY MEDICARE GROUP PTAN#
CA
01
—
ZZZ91892Z
SANTA CRUZ COUNTY MEDICARE GROUP PTAN#
CA
01
—
ZZZ92069Z
SANTA CRUZ COUNTY MEDICARE GROUP PTAN#
CA
Enumeration date
08/05/2006
Last updated
03/07/2023
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