IndividualActive
Aaron Jackson
NPI 1780527713 · Community Health Worker · Oakland, CA
Provider details
- NPI number
- 1780527713
- Entity type
- Individual
- Primary specialty
- Community Health WorkerOther Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- Y7654762 (CA)
Specialties & taxonomies
Other Service Providers
Practice location
1733 Broadway
Oakland, CA 94612-2105
Phone: (510) 931-7569
Approximate (ZIP-level) locationGet directions
Mailing address
1733 Broadway
Oakland, CA 94612-2105
Registry dates
- Enumerated
- 2026-04-13
- Last updated
- 2026-04-13
- Certified
- 2026-04-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.