Jackson Deziel, PHD
Individual provider Active NPI Paramedic · Windsor, CA
NPI 1841106754 · NPPES record last updated Aug 20, 2026
Key facts
- NPI
- 1841106754
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Paramedic 146L00000X
- License
- P48685 (CA)
- Practice address
- 1054 Esparto CT
Windsor, CA 95492-7807 - Phone
- (704) 989-8759
- NPI assigned
- Aug 20, 2026
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Paramedic | 146L00000X | P48685 | CA | Yes |
Addresses
Primary practice location
1054 Esparto CT
Windsor, CA 95492-7807
Mailing address
1054 Esparto CT
Windsor, CA 95492-7807
Phone (704) 989-8759
Other providers in Windsor, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 20, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.