ERICA R JACKSON


Address: 11355 Desmond St, Garden Grove, CA 92841
Phone: 2283570974

ERICA R JACKSON (NPI# 1174179980) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174179980
Entity Type Individual
Full Name ERICA R JACKSON
Practice Address 11355 Desmond St
Garden Grove
CA 92841
Practice Telephone 2283570974
Enumeration Date 2019-08-16
Last Update Date 2019-08-16
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3747A0650X Technician
Specialization: Attendant Care Provider
Nursing Service Related Providers

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1699245571 Erica Jackson Case Manager/Care Coordinator 1055 S Houston Ave, Tulsa, OK 74127-9043 2018-12-04
1245725050 Erica L Jackson Behavior Technician 1800 W Big Beaver Rd, Troy, MI 48084-3545 2018-06-25
1518384817 Erica Marie Jackson Specialist 814 Shanahan Rd Ste 100, Lewis Center, OH 43035-9192 2014-03-25
1962639070 Erica Lynnette Jackson Counselor 1371 Highway 278 W, Monticello, AR 71655-9663 2009-06-16
1437393345 Erica Christian Jackson Speech-Language Pathologist 2730 Isabella Blvd, Suite 10, Jacksonville Beach, FL 32250-8001 2009-04-22

Office Location

Street Address 11355 DESMOND ST
City GARDEN GROVE
State CA
Zip Code 92841

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1184107500 Tat Pharmacy, Inc Pharmacy 9153 Garden Grove Blvd., Garden Grove, CA 92841 2018-09-11
1083119002 Hoang Dmd Dental Inc. Dentist 9639 Chapman Ave, Garden Grove, CA 92841 2018-03-30
1699282434 Rubi Esmeralda Tapia Social Worker 7441 Lincoln Way Ste 250, Garden Grove, CA 92841 2018-01-02
1144739830 Bryan Nguyen Spec/Tech, Health Info 9862 Chapman Ave., Ste. B, Garden Grove, CA 92841 2017-09-25
1649796111 Jesus Torres Case Manager/Care Coordinator 9862 Chapman Ave Suite B, Garden Grove, CA 92841 2017-08-16
1477005312 Naincee Tolani Occupational Therapist 12881 Knott Street, Suite 103, Garden Grove, CA 92841 2016-10-26
1114385838 Quyen Do Case Manager/Care Coordinator 9862 Chapman Ave, Ste. B, Garden Grove, CA 92841 2016-02-09
1629331657 Superior Medical Management, LLC Clinic/Center 9862 Lemore Drive, Garden Grove, CA 92841 2012-06-25
1376818344 Meghan Lyyn-deibert Pickens Behavioral Analyst 7291 Garden Grove Blvd. Suite F, Garden Grove, CA 92841 2012-03-09
1457625295 Robert Douk Psychologist 11358 Knott St., Garden Grove, CA 92841 2012-02-24
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Taxonomy Information

Taxonomy Code 3747A0650X
Grouping Nursing Service Related Providers
Classification Technician
Specialization Attendant Care Provider

Taxonomy Definition

An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1245881291 Denice Gail Hess I Technician 12071 Reva Dr, Garden Grove, CA 92840-2626 2019-09-21
1568019412 Aracely Todd Technician 12822 Sungrove St, Garden Grove, CA 92840-6543 2019-08-23
1962059352 Maria Sanchez Selvas Technician 5922 Belgrave Ave, Garden Grove, CA 92845 2019-08-21

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1700487691 Hine Maumalanga Technician 1094 Folsom Ave, Hayward, CA 94544-5704 2020-11-05
1649871765 Charles Leroy Appleberry II Technician 1100 S Chester Ave, Compton, CA 90221-4312 2020-11-04
1902407174 Ryan Allen Merrell Technician 313 E. 17th Pl #l Costa Mesa, Costa Mesa, CA 92627 2020-11-04
1083212476 Christina Elisabeth Brunn Technician 2818 Huxley Pl, Fremont, CA 94555-1416 2020-10-16
1790392165 Amanda Moore Technician 6445 Village Center Dr, Building 7 Apt 101, Sacramento, CA 95823 2020-09-29
1730795543 Corina Rochelle Burch Technician 3706 Calavo Dr, Spring Valley, CA 91977-1903 2020-09-17
1033724729 Cinta Latrece Moore Technician 12329 Creekview Dr Unit 37, San Diego, CA 92128-6624 2020-09-10
1598379398 Trina Diane Brown Technician 115 W Zane St, Long Beach, CA 90805-6327 2020-08-31
1437760766 Jeri Lyn Allen-smith Technician 9228 Allano Way, Santee, CA 92071-2202 2020-08-11
1750991667 Natalie Mari Norman Technician 5013 Englewood Dr, San Jose, CA 95129-4232 2020-08-05
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Competitor

Search similar providers

City GARDEN GROVE
Zip Code 92841

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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