What is Kimberly Jackson's NPI number?

Kimberly Jackson's National Provider Identifier (NPI) is 1790508182, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Kimberly Jackson's specialty?

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

Where is Kimberly Jackson located?

Kimberly Jackson's practice location on file with NPPES is 6666 Green Valley Cir, Culver City, CA 90230-7068.

What is Kimberly Jackson's phone number?

The practice phone number listed in the NPPES registry for Kimberly Jackson is (310) 305-8878.

Is Kimberly Jackson's NPI active?

Yes — Kimberly Jackson's NPI (1790508182) is active in the NPPES registry as of the last update on 2025-09-16.

IndividualActive

Kimberly Jackson

NPI 1790508182 · Community Health Worker · Culver City, CA

Kimberly Jackson is a Community Health Worker provider in Culver City, CA (NPI 1790508182).

Provider details

NPI number: 1790508182
Entity type: Individual
Primary specialty: Community Health WorkerOther Service Providers
Sex: Female
Sole proprietor: No

Specialties & taxonomies

Community Health WorkerPrimary172V00000X
Other Service Providers
Day Training/Habilitation Specialist373H00000X
Nursing Service Related 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

6666 Green Valley Cir

Culver City, CA 90230-7068

Phone: (310) 305-8878

Street-level locationGet directions

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Mailing address