Active NPI
Cherolyn Jackson
- Health Educator
- San Diego, CA
National Provider Identifier
1306491386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Educator
- Practice address
- 292 Euclid Ave Ste 210
San Diego, CA 92114-3629 - Phone
- (619) 266-3665
- NPI assigned
- Aug 6, 2019
- 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 |
|---|---|---|---|---|
| Health Educator | 174H00000X | Primary |
Addresses
Primary practice location
292 Euclid Ave Ste 210
San Diego, CA 92114-3629
Mailing address
39734 Savanna Way
Murrieta, CA 92563-4391
Phone (619) 987-7770
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": "1565049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565049600000",
"number": "1306491386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39734 SAVANNA WAY",
"city": "MURRIETA",
"state": "CA",
"postal_code": "925634391",
"telephone_number": "619-987-7770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "292 EUCLID AVE STE 210",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921143629",
"telephone_number": "619-266-3665"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "CHEROLYN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-08-06",
"last_updated": "2019-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.