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Portia Jackson, LVN
NPI 1619496049 · Licensed Vocational Nurse · San Bernardino, CA
Portia Jackson, LVN is a Licensed Vocational Nurse provider in San Bernardino, CA (NPI 1619496049).
Provider details
- NPI number
- 1619496049
- Entity type
- Individual
- Primary specialty
- Licensed Vocational NurseNursing Service Providers
- Credential
- LVN
- Sex
- Female
- Sole proprietor
- No
- License
- 272565 (CA)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
1022 Sunbrook Dr.
San Bernardino, CA 92407
Phone: (310) 766-1838
Street-level locationGet directions
Mailing address
177 E. Lynwood Dr. F206
San Bernardino, CA 92404
Registry dates
- Enumerated
- 2017-09-18
- Last updated
- 2017-09-18
Frequently asked questions
- What is Portia Jackson's NPI number?
- Portia Jackson's National Provider Identifier (NPI) is 1619496049, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Portia Jackson's specialty?
- Portia Jackson is listed in the NPPES registry with a primary specialty of Licensed Vocational Nurse (Nursing Service Providers).
- Where is Portia Jackson located?
- Portia Jackson's practice location on file with NPPES is 1022 Sunbrook Dr., San Bernardino, CA 92407.
- What is Portia Jackson's phone number?
- The practice phone number listed in the NPPES registry for Portia Jackson is (310) 766-1838.
- Is Portia Jackson's NPI active?
- Yes — Portia Jackson's NPI (1619496049) is active in the NPPES registry as of the last update on 2017-09-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.