Individual provider Active NPI

Natasha Jaksch, RN

  • Public Health & General Preventive Medicine Physician
  • Vista, CA
National Provider Identifier
1316415805
Registry record updated Nov 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X
License
95067904 Issued in CA
Practice address
1234 Arcadia Ave
Vista, CA 92084-3404
Phone
(760) 685-4701
NPI assigned
Nov 2, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health & General Preventive Medicine Physician 2083P0901X 95067904 CA Primary

Addresses

Primary practice location

1234 Arcadia Ave
Vista, CA 92084-3404

Mailing address

1234 Arcadia Ave
Vista, CA 92084-3404
Phone (760) 685-4701

Other practice location 1

1234 Arcadia Ave
Vista, CA 92084-3404
Phone (760) 685-4701

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
95067904CAMDPublic Health & General Preventive Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1541116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541116800000",
    "number": "1316415805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1234 ARCADIA AVE",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920843404",
            "telephone_number": "760-685-4701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1234 ARCADIA AVE",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920843404",
            "telephone_number": "760-685-4701"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1234 Arcadia Ave",
            "address_purpose": "LOCATION",
            "city": "Vista",
            "state": "CA",
            "postal_code": "920843404",
            "country_code": "US",
            "telephone_number": "760-685-4701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAKSCH",
        "first_name": "NATASHA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-02",
        "last_updated": "2018-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "CA",
            "license": "95067904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2018; 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.