Darvale Lavon Jackson in Oakland - Community Health Worker
Darvale Lavon Jackson - NPI 1982722419
Darvale Lavon Jackson is a Community Health Worker in Oakland, California. Darvale Lavon Jackson practices all healthcare services and medical treatments related to Community Health Worker. The NPI Number for Darvale Lavon Jackson is 1982722419. The last update date is 2023-11-09.
Darvale Lavon Jackson's current location address is 3695 High St, Oakland, California. You can contact this provider via phone number 5104347990 and fax number 5104347991. The mailing address for Darvale Lavon Jackson is 3695 High St, Oakland, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Darvale Lavon Jackson |
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Address | 3695 High St, Oakland, California |
Phone Number | 5104347990 |
Fax Number | 5104347991 |
Sole Proprietor | N |
Credentials | -- |
NPI Number Detail
NPI Number | 1982722419 |
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Provider Enumeration Date | 2007-03-26 |
Last Updated Date | 2023-11-09 |
Provider Mailing Address Detail
Address | 3695 High St |
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City | Oakland |
State | California (CA) |
Post Code | 946192105 |
Phone Number | 5104347990 |
Fax Number | 5104347991 |
Provider's Primary Taxonomy Detail
Speciality | Community Health Worker |
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Taxonomy | 172V00000X |
Definition: Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status a |
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What is the unique identifier code issued to Darvale Lavon Jackson by the Centers for Medicare & Medicaid Services (CMS)?
The Darvale Lavon Jackson has been assigned the NPI (National Provider Identifier) 1982722419. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Darvale Lavon Jackson located?
The Darvale Lavon Jackson is located at 3695 High St, Oakland, CA 946192105.
What is Darvale Lavon Jackson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Darvale Lavon Jackson is Community Health Worker, and the taxonomy code that classifies this field of practice is 172V00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1982722419 to Darvale Lavon Jackson?
The Centers for Medicare & Medicaid Services assigned the 1982722419 to Darvale Lavon Jackson on 2007-03-26.
When was the information pertaining to Darvale Lavon Jackson most recently updated or revised?
The details related to Darvale Lavon Jackson, including its address, specialty, and other relevant information, were last updated or revised on 2023-11-09.
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