Dalicia Jackson

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

749471 Issued in CA

Practice address

11757 Nehmens Way
Adelanto, CA 92301-3795

Phone

(760) 987-4829

NPI assigned

Dec 11, 2025

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

State licenses

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

{
    "created_epoch": "1765411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765411200000",
    "number": "1972467199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11757 NEHMENS WAY",
            "city": "ADELANTO",
            "state": "CA",
            "postal_code": "923013795",
            "telephone_number": "760-987-4829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11757 NEHMENS WAY",
            "city": "ADELANTO",
            "state": "CA",
            "postal_code": "923013795",
            "telephone_number": "760-987-4829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "DALICIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-11",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "749471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adriana Meraih Guevara
• Molly Siang Boon Hanson, MD
• House of Hope House of Faith
• Kristyn Michelle Hyatt, RN
• Corshanae Estelle Jackson
• Ebony Nechole Jackson
• Joseph M Molina MD Professional Corporation Southern California
• Joseph M Molina MD Professional Corporation-Southern California
• Keana Turner
• Ouk Hyun Lee

• All providers in Adelanto, CA
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.

Verify at the official NPI Registry.