What is Kim Jackson's NPI number?

Kim Jackson's National Provider Identifier (NPI) is 1902257389, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Kim Jackson's specialty?

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

Where is Kim Jackson located?

Kim Jackson's practice location on file with NPPES is 1481 Windsor Dr, San Bernardino, CA 92404-5416.

What is Kim Jackson's phone number?

The practice phone number listed in the NPPES registry for Kim Jackson is (951) 643-2340.

Is Kim Jackson's NPI active?

Yes — Kim Jackson's NPI (1902257389) is active in the NPPES registry as of the last update on 2023-11-30.

IndividualActive

Kim Jackson

NPI 1902257389 · Community Health Worker · San Bernardino, CA

Kim Jackson is a Community Health Worker provider in San Bernardino, CA (NPI 1902257389).

Provider details

NPI number: 1902257389
Entity type: Individual
Primary specialty: Community Health WorkerOther Service Providers
Sex: Female
Sole proprietor: No

Specialties & taxonomies

Community Health WorkerPrimary172V00000X
Other Service Providers
Case Manager/Care Coordinator171M00000X
Other Service Providers
Peer Specialist175T00000X
Other Service Providers

Profile Score

Established profile(74/100 index)

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

Registry tenure38% of score
9 yrs in NPPES registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
4 documented practice locations

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

1481 Windsor Dr

San Bernardino, CA 92404-5416

Phone: (951) 643-2340

Street-level locationGet directions

More CA providers

Mailing address

3125 Myers St

Riverside, CA 92503-5527

Additional practice locations (3)

22445 Alessandro Blvd Ste 113-114
Moreno Valley, CA 92553-8358
Phone: (951) 788-8812
6235 River Crest Dr Ste O
Riverside, CA 92507-0758
Phone: (951) 653-7561
Fax: (951) 653-7563
3125 Myers St
Riverside, CA 92503-5527
Phone: (951) 358-5862

Enumerated: 2016-06-27
Last updated: 2023-11-30
Certified: 2023-11-30

Frequently asked questions

What is Kim Jackson's NPI number?: Kim Jackson's National Provider Identifier (NPI) is 1902257389, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What is Kim Jackson's specialty?: Kim Jackson is listed in the NPPES registry with a primary specialty of Community Health Worker (Other Service Providers).
Where is Kim Jackson located?: Kim Jackson's practice location on file with NPPES is 1481 Windsor Dr, San Bernardino, CA 92404-5416.
What is Kim Jackson's phone number?: The practice phone number listed in the NPPES registry for Kim Jackson is (951) 643-2340.
Is Kim Jackson's NPI active?: Yes — Kim Jackson's NPI (1902257389) is active in the NPPES registry as of the last update on 2023-11-30.

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.