ALEXANDRA JAZMINE PRECIADO
NPI 1053066464
Student in an Organized Health Care Education/Training Program in San Diego, CA

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since February 14, 2022

2865 LOGAN AVE, SAN DIEGO, CA 92113(619) 232-4357(619) 232-7048 Get Directions Write a Review

NPPES record last updated: July 31, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 13, 2023, Feb 14, 2022 (2 updates tracked since 2022).

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About Alexandra Jazmine Preciado NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALEXANDRA JAZMINE PRECIADO (NPI 1053066464) is an individual student in an organized health care education/training program in San Diego, California and active in the NPI registry since February 2022.

NPPES Registry Identity

NPI1053066464

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameALEXANDRA JAZMINE PRECIADO

Location Address2865 LOGAN AVESan Diego, CA 92113-2411

Mailing Address2865 Logan AveSan Diego, CA 92113-2411 · (619) 232-4357 · Fax (619) 232-7048

Phone(619) 232-4357

Fax(619) 232-7048

Sole ProprietorYes

Enumeration DateFebruary 14, 2022

Last NPPES UpdateJuly 31, 20252 updates tracked since enumeration

NPPES CertifiedJuly 31, 2025

✔ NPI 1053066464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also ListedBehavior AnalystTaxonomy 103K00000X

Also ListedCommunity Health WorkerTaxonomy 172V00000X

Also ListedPeer SpecialistTaxonomy 175T00000X

2865 LOGAN AVE, San Diego, CA 92113

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