Active NPI
Tatonya Jackson
- In Home Supportive Care Agency
- Chula Vista, CA
National Provider Identifier
1043114622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Practice address
- 1419 Tobias Dr Apt 21
Chula Vista, CA 91911-4434 - Phone
- (619) 763-9579
- NPI assigned
- Oct 6, 2026
- Last updated
- Oct 6, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | NU | Primary |
Addresses
Primary practice location
1419 Tobias Dr Apt 21
Chula Vista, CA 91911-4434
Mailing address
1419 Tobias Dr Apt 21
Chula Vista, CA 91911-4434
Phone (619) 763-9579
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1791244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791244800000",
"number": "1043114622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1419 TOBIAS DR APT 21",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919114434",
"telephone_number": "619-763-9579"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1419 TOBIAS DR APT 21",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919114434",
"telephone_number": "619-763-9579"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "TATONYA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-10-06",
"last_updated": "2026-10-06",
"certification_date": "2026-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chula Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.