KIM JACKSON (NPI# 1902257389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902257389 |
| Entity Type | Individual |
| Full Name | KIM JACKSON |
| Practice Address |
27261 Las Ramblas Ste 220 Mission Viejo CA 92691-6468 |
| Practice Telephone | 9098354800 |
| Mailing Telephone | 9098354800 |
| Enumeration Date | 2016-06-27 |
| Last Update Date | 2020-02-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 172V00000X | Community Health Worker | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003415464 | Kim B Jackson | Massage Therapist | 29 Glen Cove Ave Ste 212, Glen Cove, NY 11542-2831 | 2020-10-18 |
| 1841706835 | Kim Yvette Jackson | Non-emergency Medical Transport (VAN) | 2101 Hickory Hill Dr, Mansfield, TX 76063-2070 | 2017-12-28 |
| 1801215595 | Kim E Jackson | Marriage & Family Therapist | 1337 Forest Dr, Louisville, KY 40219-1418 | 2014-04-10 |
| 1285944637 | Kim Janice Jackson | Licensed Practical Nurse | 1135 East 82nd Street, Brooklyn, NY 11236 | 2010-10-19 |
| 1861987331 | Kim N Jackson | Social Worker | 1900 N Howard St Ste 300, Baltimore, MD 21218-5909 | 2018-06-27 |
| 1285177261 | Kim Jackson | Rehabilitation Practitioner | 201 E 16th Ave, 206, Anchorage, AK 99501-5265 | 2016-11-23 |
| 1285933176 | Kim Marie Jackson | Counselor | 2109 S Highway 69, Wagoner, OK 74467-9310 | 2011-03-18 |
| 1003126699 | Kim M Jackson | Social Worker | 3737 Lander Road, Pepper Pike, OH 44124-5712 | 2010-10-15 |
| 1033143581 | Kim Jackson | Nurse Practitioner | 1000 Locust St, Reno, NV 89502-2597 | 2006-07-10 |
| Street Address |
27261 LAS RAMBLAS STE 220 |
| City | MISSION VIEJO |
| State | CA |
| Zip Code | 92691-6468 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497787865 | Kim Uyen Tran Preston | Marriage & Family Therapist | 27261 Las Ramblas Ste 220, Mission Viejo, CA 92691-6468 | 2006-07-07 |
| 1982247821 | Vanessa Aguilar | Case Manager/Care Coordinator | 27261 Las Ramblas Ste 220, Mission Viejo, CA 92691-6468 | 2019-10-23 |
| 1821649633 | Liliana Aldaz | Case Manager/Care Coordinator | 27261 Las Ramblas Ste 220, Mission Viejo, CA 92691-6468 | 2019-09-23 |
| 1124678537 | Lucy Maria Ramos | Case Manager/Care Coordinator | 27261 Las Ramblas Ste 220, Mission Viejo, CA 92691-6468 | 2019-09-17 |
| 1134772619 | Leslie Anai Ortega | Peer Specialist | 27261 Las Ramblas Ste 220, Mission Viejo, CA 92691-6468 | 2019-07-23 |
| 1518525351 | Clarissa Aglaen Gallardo | Peer Specialist | 27261 Las Ramblas Ste 220, Mission Viejo, CA 92691 | 2019-06-05 |
| 1922662741 | Jasmine Salcedo | Case Manager/Care Coordinator | 27261 Las Ramblas Ste 220, Mission Viejo, CA 92691-6468 | 2019-04-26 |
| 1518427723 | Laura Kassandra Montejano | Case Manager/Care Coordinator | 27261 Las Ramblas Ste 220, Mission Viejo, CA 92691-6468 | 2019-03-22 |
| 1225504939 | Jalisa Sylvester | Case Manager/Care Coordinator | 27261 Las Ramblas Ste 220, Mission Viejo, CA 92691 | 2018-10-19 |
| 1881178952 | Andrew Theodore Ezpeleta | Counselor | 27261 Las Ramblas Ste 220, Mission Viejo, CA 92691-6468 | 2018-09-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134748247 | Sonja Wood | Registered Nurse | 92691 Avenida Deseo, Mission Viejo, CA 92691 | 2020-04-09 |
| 1912488487 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 27551 Puerta Real, Mission Viejo, CA 92691 | 2018-08-23 |
| 1518457704 | Leon Baginski Md Inc | Obstetrics & Gynecology | 26800 Crown Valley Pkwy Ste 560, Mission Viejo, CA 92691 | 2018-05-14 |
| 1215426762 | Gail G Warner | Marriage & Family Therapist | 26050 Acero, Suite 301, Mission Viejo, CA 92691 | 2018-05-09 |
| 1508354176 | Tania Choudhary | Student in an Organized Health Care Education/Training Program | 23595 Rangoon St, Mission Viejo, CA 92691 | 2018-04-28 |
| 1710486519 | Aubriana Denise Gray | Counselor | 25802 Pacifica Ave, Mission Viejo, CA 92691 | 2018-02-07 |
| 1487162707 | Alberto Israel Galicia | Case Manager/Care Coordinator | 27261 Las Ramblas, Suite 220, Mission Viejo, CA 92691 | 2018-01-22 |
| 1629595244 | Elisabeth A Lischer | Counselor | 26137 La Paz Road, Suite 230, Mission Viejo, CA 92691 | 2017-08-24 |
| 1639694227 | Dr. Horiyat, A Dental Corporation | Dentist | 27652 Crown Valley Parkway, Mission Viejo, CA 92691 | 2017-08-04 |
| 1255851689 | Jackelin Liseth Martinez | Counselor | 25402 Pacifica Avenue, Mission Viejo, CA 92691 | 2017-06-27 |
| Find all providers in zip 92691 | ||||
| Taxonomy Code | 172V00000X |
| Grouping | Other Service Providers |
| Classification | Community Health Worker |
| Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status and life experiences with the community members they serve. They have been identified by many titles such as community health advisors, lay health advocates, "promotores(as), outreach educators, community health representatives, peer health promoters, and peer health educators. CHWs offer interpretation and translation services, provide culturally appropriate health education and information, assist people in receiving the care they need, give informal counseling and guidance on health behaviors, advocate for individual and community health needs, and provide some direct services such as first aid and blood pressure screening. Some examples of these practitioners are Community Health Aides or Practitioners established under 25 USC §1616 (l) under HHS, Indian Health Service, Public Health Service. |
| Notes: Source: Health Resources and Services Administration, US Department of Health and Human Services – National Workforce Study on Community Health Workers, March, 2007. [7/1/2007: new] http://bhpr.hrsa.gov/healthworkforce/chw/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871082966 | Patricia Sil | Community Health Worker | 27261 Las Ramblas Ste 220, Mission Viejo, CA 92691-6468 | 2018-05-04 |
| 1982127064 | Rosie Yager | Community Health Worker | 27261 Las Ramblas Ste 220, Mission Viejo, CA 92691-6468 | 2017-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699376400 | Rosa Maria Narvaez | Community Health Worker | 1206 Valencia St Apt 9, San Francisco, CA 94110-3097 | 2020-11-06 |
| 1134720238 | Hilda Rodriguez | Community Health Worker | 397 W 53rd St, San Bernardino, CA 92407-2612 | 2020-11-04 |
| 1952902132 | Maria G Martinez | Community Health Worker | 6260 Hetty St, Fontana, CA 92336-1036 | 2020-11-04 |
| 1568063725 | Darlene My Phan | Community Health Worker | 661 Clearwater Creek Dr, Newbury Park, CA 91320-4976 | 2020-11-04 |
| 1477150142 | Jennifer Messer | Community Health Worker | 14344 Cajon Ave Ste 102-103, Victorville, CA 92392-4300 | 2020-10-06 |
| 1083224604 | Vilma Rizzo | Community Health Worker | 1318 Gateview Ave, San Francisco, CA 94130-1418 | 2020-08-07 |
| 1922625912 | Katriona Lorraine Reilly-amtoft | Community Health Worker | 513 Park Way, South San Francisco, CA 94080-2644 | 2020-06-25 |
| 1962024489 | Chyvonne Washington | Community Health Worker | 2000 Alameda De Las Pulgas Ste 230, San Mateo, CA 94403-7200 | 2020-05-07 |
| 1326668336 | Iris Teresa Merlos | Community Health Worker | 22046 Saticoy St, Canoga Park, CA 91303-1132 | 2020-04-20 |
| 1164055836 | Leonardo A Camacho | Community Health Worker | 154 Capp St Ste A, San Francisco, CA 94110-1210 | 2020-02-20 |
| Find all providers with the same taxonomy | ||||
| City | MISSION VIEJO |
| Zip Code | 92691 |
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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.