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FARLEY JACKSON
NPI 1063040137
Rehabilitation Practitioner in Culver City, CA

Active since April 01, 2020
9808 VENICE BLVD STE 700, CULVER CITY, CA 90232(310) 945-3350(310) 945-3356 Get Directions Write a Review

NPPES record last updated: April 1, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Farley Jackson NPPES

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

FARLEY JACKSON (NPI 1063040137) is an individual rehabilitation practitioner in Culver City, California and active in the NPI registry since April 2020.

NPPES Registry Identity

NPI1063040137
Entity TypeIndividualMale
Primary Taxonomy225400000X
Provider Legal NameFARLEY JACKSON
Location Address9808 VENICE BLVD STE 700Culver City, CA 90232-6824
Mailing Address9808 Venice Blvd Ste 700Culver City, CA 90232-6824 · (310) 945-3350 · Fax (310) 945-3356
Phone(310) 945-3350
Fax(310) 945-3356
Sole ProprietorYes
Enumeration DateApril 1, 2020
NPPES CertifiedApril 1, 2020
✔ NPI 1063040137 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225400000X
Definition

A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

9808 VENICE BLVD STE 700, Culver City, CA 90232
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KEVIN JACOB WINSTON
Rehabilitation Practitioner
9808 VENICE BLVD STE 700
CULVER CITY, CA 90232
Los Angeles County (310) 945-3350
BRADLEY CHARLES NEIMAN
Peer Specialist
9808 VENICE BLVD STE 700
CULVER CITY, CA 90232
Los Angeles County (310) 945-3350
JULIA MARISA ALAY
Licensed Vocational Nurse
9808 VENICE BLVD STE 700
CULVER CITY, CA 90232
Los Angeles County (310) 945-3350
DESIREA CHANELLE TAYLOR
Licensed Vocational Nurse
9808 VENICE BLVD STE 700
CULVER CITY, CA 90232
Los Angeles County (310) 945-3350
ASHLEY NICOLLE NUNEZ
Rehabilitation Practitioner
9808 VENICE BLVD STE 700
CULVER CITY, CA 90232
Los Angeles County (310) 945-3350
ZYNIA NEREYDA ORTIZ
Rehabilitation Practitioner
9808 VENICE BLVD STE 700
CULVER CITY, CA 90232
Los Angeles County (310) 945-3350
ALVARO MAURICIO LA ROSA
Rehabilitation Practitioner
9808 VENICE BLVD STE 700
CULVER CITY, CA 90232
Los Angeles County (310) 945-3350
JEANETTE MARTINEZ
Rehabilitation Practitioner
9808 VENICE BLVD STE 700
CULVER CITY, CA 90232
Los Angeles County (310) 945-3350

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Farley Jackson's NPI number?

The NPI number for Farley Jackson is 1063040137. It was assigned to this individual provider in the NPPES registry on April 1, 2020.

Where is Farley Jackson located?

Farley Jackson practices at 9808 Venice Blvd Ste 700, Culver City, CA 90232. The listed phone number is (310) 945-3350.

What is Farley Jackson's specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

When was this NPI record last updated?

The NPPES record for Farley Jackson was last updated on April 1, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.