Sasha Jackson, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

SASHA JACKSON, LLC

Practice address

1212 N California St
Stockton, CA 95202-1552

Phone

(209) 242-0601

NPI assigned

Sep 21, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sasha Ja-Nae Jackson, LCSWNPI 1295181295

Title

Owner

Phone

(209) 242-0601

Specialties & licenses 1

Addresses

Other names 1

• Sasha Jackson, LLC Former legal business name

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sasha Jackson

  • Clinical Social Worker
  • Oakland, CA
  • NPI 1295181295
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1600646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615248000000",
    "number": "1083220453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1574",
            "city": "PATTERSON",
            "state": "CA",
            "postal_code": "953631574",
            "telephone_number": "209-242-0601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 N CALIFORNIA ST",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952021552",
            "telephone_number": "209-242-0601"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "480 Ridge Creek Ln",
            "address_purpose": "LOCATION",
            "city": "Patterson",
            "state": "CA",
            "postal_code": "953638776",
            "country_code": "US",
            "telephone_number": "209-242-0601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SASHA JACKSON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-21",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "SASHA",
        "authorized_official_middle_name": "JA-NAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "209-242-0601",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sasha.jackson.lcsw@outlook.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "480 Ridge Creek Ln",
            "city": "Patterson",
            "state": "CA",
            "country_code": "US",
            "postal_code": "953638776",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Sasha Jackson, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Sasha Jackson, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Federica Sarti, DO
• Juan Fernando Sarti, M.D.
• Toshiaki Donald Saruwatari, LCSW
• Frank Sasaki
• Lindsay T Sasaki
• Janiece Sasser
• Irene Satake
• Anne-Marie Satariano, COTA
• Satellite Dialysis of South Stockton LLC
• Satellite Dialysis of Stockton LLC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Stockton, CA
• Providers in Stockton, CA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.