Active NPI
Jeremy Brandon Jackson, MS
- Community Health Worker
- San Bernardino, CA
National Provider Identifier
1689981599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Practice address
- 165 W Hospitality LN Ste 11
San Bernardino, CA 92408-3322 - Phone
- (866) 664-0426
- Fax
- (909) 619-3914
- NPI assigned
- Sep 13, 2010
- 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 |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | CA | Primary |
Addresses
Primary practice location
165 W Hospitality LN Ste 11
San Bernardino, CA 92408-3322
Mailing address
PO Box 18142
Long Beach, CA 90807-8142
Phone (310) 704-1971
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
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bigger Than You LLC | Current | Accepting new patients | |
| Special Service for Groups, Inc. | Past | Accepting new patients |
Locations
165 W Hospitality Ln
Ste 11
San Bernardino, CA 92408
Phone (909) 300-2622
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Case Management Agency
- San Bernardino, CA
- NPI 1588494827
-
- Adolescent and Children Mental Health Clinic/Center
- Los Angeles, CA
- NPI 1982735932
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760572800000",
"number": "1689981599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 18142",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908078142",
"telephone_number": "310-704-1971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "165 W HOSPITALITY LN STE 11",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924083322",
"telephone_number": "866-664-0426",
"fax_number": "909-619-3914"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "JEREMY",
"middle_name": "BRANDON",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-09-13",
"last_updated": "2025-10-16",
"certification_date": "2025-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Bernardino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.