SASHA JACKSON, LLC
NPI 1083220453
Clinic/Center - Mental Health (Including Community Mental Health Center) in Stockton, CA

Active since September 21, 2020
1212 N CALIFORNIA ST, STOCKTON, CA 95202(209) 242-0601 Get Directions Write a Review

NPPES record last updated: March 9, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 9, 2021, Sep 21, 2020 (2 updates tracked since 2020).

About Sasha Jackson, Llc NPPES

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

SASHA JACKSON, LLC (NPI 1083220453) is a healthcare organization registered as a mental health (including community mental health center) in Stockton, California and active in the NPI registry since September 2020. The organization maintains a secondary practice location in Patterson and lists Sasha Ja-nae Jackson, Owner, as its authorized official.

NPPES Registry Identity

NPI1083220453
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameSASHA JACKSON, LLC
Location Address1212 N CALIFORNIA STStockton, CA 95202-1552
Mailing AddressPo Box 1574Patterson, CA 95363-1574 · (209) 242-0601
Organization SubpartNo
Authorized OfficialSasha Ja-nae JacksonOwner · (209) 242-0601
Enumeration DateSeptember 21, 2020
Last NPPES UpdateMarch 9, 20212 updates tracked since enumeration
NPPES CertifiedMarch 9, 2021
NPI 1083220453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
1212 N CALIFORNIA ST, Stockton, CA 95202

Other Names 1

Former Legal Business NameSasha Jackson, Llc

Secondary Practice Location 1

Location 1480 Ridge Creek LnPatterson, CA 95363-8776 · Phone (209) 242-0601

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.

Clinic/Center (Mental Health (Including Community Mental Health Center))
1212 N CALIFORNIA ST
STOCKTON, CA 95202
Pharmacist
1212 N CALIFORNIA ST
STOCKTON, CA 95202
Case Manager/Care Coordinator
1212 N CALIFORNIA ST
STOCKTON, CA 95202
Registered Nurse
1212 N CALIFORNIA ST
STOCKTON, CA 95202
Social Worker (Clinical)
1212 N CALIFORNIA ST
STOCKTON, CA 95202
Technician, Other
1212 N CALIFORNIA ST
STOCKTON, CA 95202
Counselor (Mental Health)
1212 N CALIFORNIA ST
STOCKTON, CA 95202
Counselor (Mental Health)
1212 N CALIFORNIA ST
STOCKTON, CA 95202

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 Sasha Jackson, LLC's NPI number?

The NPI number for Sasha Jackson, LLC is 1083220453. It was assigned to this organization in the NPPES registry on September 21, 2020.

Where is Sasha Jackson, LLC located?

Sasha Jackson, LLC is located at 1212 N California St, Stockton, CA 95202. The listed phone number is (209) 242-0601.

What is Sasha Jackson, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Sasha Jackson, LLC was last updated on March 9, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.