Active NPI
Victor Jackson
- General Care Certified Respiratory Therapist
- Chula Vista, CA
National Provider Identifier
1114842895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Care Certified Respiratory Therapist
- License
- 31720
- Practice address
- 1243 Battle Creek Rd
Chula Vista, CA 91913-1676 - Phone
- (619) 787-0901
- NPI assigned
- Aug 12, 2026
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Care Certified Respiratory Therapist | 2278G1100X | 31720 | CA | Primary |
Addresses
Primary practice location
1243 Battle Creek Rd
Chula Vista, CA 91913-1676
Mailing address
1243 Battle Creek Rd
Chula Vista, CA 91913-1676
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1786492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786492800000",
"number": "1114842895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1243 BATTLE CREEK RD",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919131676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1243 BATTLE CREEK RD",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919131676",
"telephone_number": "619-787-0901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "VICTOR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-08-12",
"last_updated": "2026-08-12",
"certification_date": "2026-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "2278G1100X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Certified, General Care",
"state": "CA",
"license": "31720",
"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 Aug 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.