DOMINIQUE JACKSON (NPI# 1184164949) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184164949 |
| Entity Type | Individual |
| Full Name | DOMINIQUE JACKSON |
| Practice Address |
1738 S Tremont St Oceanside CA 92054-5309 |
| Practice Telephone | 6192750822 |
| Enumeration Date | 2017-02-27 |
| Last Update Date | 2017-09-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538629639 | Dominique Jackson | Social Worker | 1521 Gull Rd, Kalamazoo, MI 49048-1640 | 2019-03-23 |
| 1174081822 | Dominique Terence Jackson | Nurse Practitioner | 1791 Alum Creek Dr Ste 100, Columbus, OH 43207 | 2019-03-12 |
| 1679000814 | Dominique Jackson | Nurse Practitioner | 2309 E 15th St, Panama City, FL 32405-6345 | 2017-05-18 |
| Street Address |
1738 S TREMONT ST |
| City | OCEANSIDE |
| State | CA |
| Zip Code | 92054-5309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326067943 | Jeffrey S Nelson | Counselor | 1738 S Tremont St, Oceanside, CA 92054-5309 | 2006-07-18 |
| 1053919480 | Sean Berkshire | Marriage & Family Therapist | 1738 S Tremont St, Oceanside, CA 92054-5309 | 2020-10-16 |
| 1356949572 | Julia Herrera | Licensed Vocational Nurse | 1738 S Tremont St, Oceanside, CA 92054-5309 | 2020-10-09 |
| 1942815501 | Sydney Drew Clonts | Licensed Vocational Nurse | 1738 S Tremont St, Oceanside, CA 92054-5309 | 2020-09-10 |
| 1427661636 | Molly Dietrich | Student in an Organized Health Care Education/Training Program | 1738 S Tremont St, Oceanside, CA 92054-5309 | 2020-08-27 |
| 1194337923 | Josie Tortez | Licensed Vocational Nurse | 1738 S Tremont St, Oceanside, CA 92054-5309 | 2020-08-21 |
| 1700401916 | Laurie Michelle Andrews | Counselor | 1738 S Tremont St, Oceanside, CA 92054-5309 | 2020-06-12 |
| 1528683315 | Gonzalo F Gallegos | Counselor | 1738 S Tremont St, Oceanside, CA 92054-5309 | 2020-06-08 |
| 1093341257 | Daniel Ernesto Reza | Student in an Organized Health Care Education/Training Program | 1738 S Tremont St, Oceanside, CA 92054-5309 | 2020-03-19 |
| 1043846876 | Manuel Manriquez Sandoval Jr | Counselor | 1738 S Tremont St, Oceanside, CA 92054-5309 | 2020-03-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497369987 | Crownview Telehealth Instiute LLC | Community/Behavioral Health | 315 North Clementine Street, Oceanside, CA 92054 | 2020-09-02 |
| 1992353585 | Janell Katherine Dulaney | Student in an Organized Health Care Education/Training Program | 738 S Tremont St, Oceanside, CA 92054 | 2019-08-28 |
| 1295201986 | North County Psychology Apc | Clinical Neuropsychologist | 2204 S. El Camino Real, #305, Oceanside, CA 92054 | 2018-10-19 |
| 1437638947 | Amy Joanne Buckner | Student in an Organized Health Care Education/Training Program | 2204 S El Camino Real Ste 102, Oceanside, CA 92054 | 2018-08-07 |
| 1285112458 | Alique Bedikian | Counselor | 1100 Sportfisher Dr, Oceanside, Oceanside, CA 92054 | 2018-07-31 |
| 1053809244 | Thrive Medical Specialists, A Professional Corporation | Physical Medicine & Rehabilitation | 322 N Nevada St., Oceanside, CA 92054 | 2018-04-24 |
| 1982133377 | Maegan Casanova | Psychologist | 1213 Herby Way, Oceanside, CA 92054 | 2017-06-08 |
| 1588109466 | Ryan Purvis | Counselor | 2812 Oceanside Blvd, Oceanside, CA 92054 | 2016-12-30 |
| 1629512595 | Ahi Vein and Vascular Specialists Inc A Professional Medical Corp | Clinic/Center | 2125 South El Camino Real, Suite 210, Oceanside, CA 92054 | 2016-12-13 |
| 1437531175 | Ginger Burleson | Counselor | 1110 Sportfisher Drive, Oceanside, CA 92054 | 2015-06-18 |
| Find all providers in zip 92054 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043830763 | Gabriela Juache | Student in an Organized Health Care Education/Training Program | 525 Shadow Tree Dr, Oceanside, CA 92058-7030 | 2020-04-22 |
| 1508493560 | Mercedes Andreina Cardenas Pena | Student in an Organized Health Care Education/Training Program | 196 South Nassau, Oceanside, NY 11572 | 2020-03-26 |
| 1871143461 | Michael Alex Fisher | Student in an Organized Health Care Education/Training Program | 4241 Calle Del Vis, Oceanside, CA 92057-6475 | 2019-09-16 |
| 1992353585 | Janell Katherine Dulaney | Student in an Organized Health Care Education/Training Program | 738 S Tremont St, Oceanside, CA 92054 | 2019-08-28 |
| 1104482090 | Jennifer Rachel Virgile | Student in an Organized Health Care Education/Training Program | 361 Evans Ave, Oceanside, NY 11572-3831 | 2019-05-15 |
| 1962982736 | Jenna Leanne Griffin | Student in an Organized Health Care Education/Training Program | 553 Parker Rd, Oceanside, CA 92058-8022 | 2018-08-21 |
| 1437638947 | Amy Joanne Buckner | Student in an Organized Health Care Education/Training Program | 2204 S El Camino Real Ste 102, Oceanside, CA 92054 | 2018-08-07 |
| 1437682085 | Megan Chan | Student in an Organized Health Care Education/Training Program | 2466 Washington Ave, Oceanside, NY 11572-1533 | 2017-04-10 |
| 1922539394 | Jill Kupferman | Student in an Organized Health Care Education/Training Program | 441 Faller St, Oceanside, NY 11572-3508 | 2017-03-27 |
| 1386197671 | Kristina Fasano | Student in an Organized Health Care Education/Training Program | 3152 Benjamin Rd, Oceanside, NY 11572-4401 | 2016-08-03 |
| Find all providers in OCEANSIDE | ||||
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| 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.