Raynell Marie Jackson

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

Practice address

10918 Villa Hermosa Dr
Bakersfield, CA 93311-9373

Phone

(661) 654-8559

NPI assigned

Jul 24, 2007

Last updated

Mar 26, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Brighter Horizon Group Homes, Inc.

  dba Brighter Horizon Treatment Centers, Magnolia

  • Mental Illness Community Based Residential Treatment Facility
  • Bakersfield, CA
  • NPI 1285283101
  NPD (past)
• Matthew Wong MD, Inc

  • Psychiatry Physician
  • Torrance, CA
  • NPI 1851524433
  NPD (past)

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774483200000",
    "number": "1942400114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10918 VILLA HERMOSA DR",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933119373",
            "telephone_number": "661-654-8559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10918 VILLA HERMOSA DR",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933119373",
            "telephone_number": "661-654-8559"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5417 Pacer Valley Ct",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933134304",
            "country_code": "US",
            "telephone_number": "661-412-7611",
            "fax_number": "999-999-9999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "RAYNELL",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-24",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "CA",
            "license": null,
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lessie Jackson
• Leticia Denise Jackson
• Melinda Jackson
• Naomi Lorraine Jackson, PSY.D.
• Rand Lee Jackson, D.C
• Trevor Jackson
• Jessy Jacob, MD
• Melchor Jacob, NP/PA
• Nancy Supan Jacob, FNP-C
• Jacobo Physical Therapy, Inc.

• Rehabilitation Practitioner in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Rehabilitation Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.