What is Phillip Jackson's NPI number?

Phillip Jackson's National Provider Identifier (NPI) is 1770933855, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Phillip Jackson's specialty?

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

Where is Phillip Jackson located?

Phillip Jackson's practice location on file with NPPES is 1801 Vicente St, San Francisco, CA 94116-2923.

What is Phillip Jackson's phone number?

The practice phone number listed in the NPPES registry for Phillip Jackson is (415) 681-3211.

Is Phillip Jackson's NPI active?

Yes — Phillip Jackson's NPI (1770933855) is active in the NPPES registry as of the last update on 2016-06-20.

IndividualActive

Phillip Jackson

NPI 1770933855 · Community Health Worker · San Francisco, CA

Phillip Jackson is a Community Health Worker provider in San Francisco, CA (NPI 1770933855).

Provider details

NPI number: 1770933855
Entity type: Individual
Primary specialty: Community Health WorkerOther Service Providers
Sex: Male
Sole proprietor: Yes
License: 172V00000X (CA)

Specialties & taxonomies

Community Health WorkerPrimary172V00000XLicense 172V00000X (CA)
Other Service Providers

Profile Score

Established profile(72/100 index)

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

Registry tenure38% of score
10 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

1801 Vicente St

San Francisco, CA 94116-2923

Phone: (415) 681-3211

Street-level locationGet directions

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Mailing address