Lenisha Danielle Jackson-Miles, CMA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

2394412 Issued in VA

Practice address

2051 Cushing Rd
San Diego, CA 92106-6173

Phone

(619) 524-0173

NPI assigned

Mar 13, 2008

Sex

Female

Sole proprietor

No

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

Credentials

Certified Medical Assistant

State licenses

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

{
    "created_epoch": "1205366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205366400000",
    "number": "1831360221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "883 CAMINO DEL SOL",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919106664",
            "telephone_number": "619-370-2197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2051 CUSHING RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921066173",
            "telephone_number": "619-524-0173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON-MILES",
        "first_name": "LENISHA",
        "middle_name": "DANIELLE",
        "name_prefix": "Mrs.",
        "credential": "CMA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-13",
        "last_updated": "2008-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "VA",
            "license": "2394412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeanette Jacknin, M.D.
• Steven Jacko, IDC
• Arbelena Jackob, PHARMD
• Gilbert Melvin Jackofsky, PH D
• Kori-Michelle Jackson-Maldonado
• Latrice T Jackson-Washington
• Alia Victoria Jackson
• Anna Leticia Jackson, M.D.
• Brandon Christopher Jackson, IDC
• Brian James Jackson, IDC

• Medical Physician Assistant in San Diego, CA
• Providers in San Diego, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2008; 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.