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Mark Jackson , MS

Speech-Language Pathologist • Vallejo, CA

Active NPI 1790834596 Individual Practitioner Male Practitioner
Practice location in NPPES

975 Sereno Dr
Vallejo, CA 945892441

Call 7076511320 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

975 Sereno Dr

Vallejo, CA 945892441

Telephone 7076511320
Organization at the Same NPPES Address or Phone
Kaiser Permanente Vallejo Facility NPI 1801983150

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2007

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Vallejo and California

45 active clinicians are listed under Speech-Language Pathologist with a practice address in Vallejo, CA (13,149 in California).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Vallejo

0% of these 45 clinicians have the CMS telehealth indicator.

2.2% of these 45 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES CA 8487

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Medical Board of California.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

40 listed
Dr. Noman Absar , MD

Internal Medicine - Critical Care Medicine

NPI 1205908951

Doctor of Medicine (M.D.)

NPI 1457439283

Doctor of Medicine (M.D.)

Dr. Waseem Ahmad , MD

Internal Medicine - Nephrology

NPI 1366520108

Doctor of Medicine (M.D.)

Aaser Ali

Family Medicine

NPI 1073148110
NPI 1942374541

Doctor of Medicine (M.D.)

Dr. Chude Anagor , MD

Internal Medicine

NPI 1336556224

Doctor of Medicine (M.D.)

Career & Practice History

NPI enumerated January 09, 2007.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1790834596
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 09, 2007
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

975 Sereno Dr

Vallejo, CA 945892441

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.