IndividualActive
Jimmie Jackson
NPI 1124513783 · Peer Specialist · San Diego, CA
Jimmie Jackson is a Peer Specialist provider in San Diego, CA (NPI 1124513783).
Provider details
- NPI number
- 1124513783
- Entity type
- Individual
- Primary specialty
- Peer SpecialistOther Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1260 Morena Blvd Ste 100
San Diego, CA 92110
Phone: (619) 398-0355
Street-level locationGet directions
Mailing address
1260 Morena Blvd Ste 100
San Diego, CA 92110-3850
Additional practice locations (1)
- 1202 Morena Blvd Ste 300San Diego, CA 92110-3844Phone: (619) 275-0822
Registry dates
- Enumerated
- 2018-06-26
- Last updated
- 2018-07-02
Frequently asked questions
- What is Jimmie Jackson's NPI number?
- Jimmie Jackson's National Provider Identifier (NPI) is 1124513783, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jimmie Jackson's specialty?
- Jimmie Jackson is listed in the NPPES registry with a primary specialty of Peer Specialist (Other Service Providers).
- Where is Jimmie Jackson located?
- Jimmie Jackson's practice location on file with NPPES is 1260 Morena Blvd Ste 100, San Diego, CA 92110.
- What is Jimmie Jackson's phone number?
- The practice phone number listed in the NPPES registry for Jimmie Jackson is (619) 398-0355.
- Is Jimmie Jackson's NPI active?
- Yes — Jimmie Jackson's NPI (1124513783) is active in the NPPES registry as of the last update on 2018-07-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.