What is Fateen Jackson's NPI number?

Fateen Jackson's National Provider Identifier (NPI) is 1730901836, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Fateen Jackson's specialty?

Fateen Jackson is listed in the NPPES registry with a primary specialty of Community Health Worker (Other Service Providers).

Where is Fateen Jackson located?

Fateen Jackson's practice location on file with NPPES is 2101 Courage Dr, Fairfield, CA 94533-6717.

What is Fateen Jackson's phone number?

The practice phone number listed in the NPPES registry for Fateen Jackson is (707) 646-4600.

Is Fateen Jackson's NPI active?

Yes — Fateen Jackson's NPI (1730901836) is active in the NPPES registry as of the last update on 2024-10-29.

IndividualActive

Fateen Jackson

NPI 1730901836 · Community Health Worker · Fairfield, CA

Fateen Jackson is a Community Health Worker provider in Fairfield, CA (NPI 1730901836).

Provider details

NPI number: 1730901836
Entity type: Individual
Primary specialty: Community Health WorkerOther Service Providers
Sex: Male
Sole proprietor: No

Specialties & taxonomies

Community Health WorkerPrimary172V00000X
Other Service Providers

Profile Score

Basic profile(49/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
1 yr in NPPES registry
Profile completeness38% of score
83% 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

2101 Courage Dr

Fairfield, CA 94533-6717

Phone: (707) 646-4600

Street-level locationGet directions

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Mailing address