Sayomi Kimora Lee Jackson

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

12631 Imperial Hwy Ste B103
Santa Fe Springs, CA 90670-6732

Phone

(213) 691-2522

NPI assigned

Jan 7, 2026

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

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

{
    "created_epoch": "1767744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767744000000",
    "number": "1871450288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11812 AVALON BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900612835",
            "telephone_number": "213-691-2522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12631 IMPERIAL HWY STE B103",
            "city": "SANTA FE SPRINGS",
            "state": "CA",
            "postal_code": "906706732",
            "telephone_number": "213-691-2522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "SAYOMI",
        "middle_name": "KIMORA LEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-01-07",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Institute for Family Centered Services Inc.
• Internist Laboratory
• Alofagia Toetu Iosua
• Bridget Joanne Islas
• Ryan C Jackson
• Jaclynne Y. Magno-Choi, O.D. Inc
• Wendy Gabriela Jacobo
• Stephanie Jaimez
• Breanna James
• Steven James

• Community Health Worker in Santa Fe Springs, CA
• Providers in Santa Fe Springs, CA by specialty
• Community Health Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2026; 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.