Dontee Lamone Jackson

Primary specialty

Attendant Care ProviderTaxonomy code 3747A0650X

Practice address

4460 Delta St Apt 8
San Diego, CA 92113-4166

Phone

(619) 432-1070

NPI assigned

Nov 2, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1635811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635811200000",
    "number": "1336804533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1959 ILEX AVE APT 203",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921543950",
            "telephone_number": "619-852-5915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4460 DELTA ST APT 8",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921134166",
            "telephone_number": "619-432-1070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "DONTEE",
        "middle_name": "LAMONE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-11-02",
        "last_updated": "2021-11-02",
        "certification_date": "2021-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cherolyn Jackson
• Cody Ronald Jackson, M.D.
• Dahlin Jackson, DO
• Danielle Linda Jackson, LCSW
• David Keith Jackson II, DMD
• Elizabeth Anne Caroline Jackson, PHARM D.
• Erica Aleas Jackson, FNP-C
• Erin Jackson
• Evangelina Jackson, LVN
• Evelyn Jackson

• Attendant Care Provider in San Diego, CA
• Providers in San Diego, CA by specialty
• Attendant Care Provider in California

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