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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JACQUESE M BURGESS
NPI 1104665124
Day Training/Habilitation Specialist in Oakland, CA

Active since May 20, 2024
390 40TH ST, OAKLAND, CA 94609(510) 899-0128(510) 569-4589 Get Directions Write a Review

NPPES record last updated: September 8, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Sep 8, 2026, Jun 27, 2024 (2 updates tracked since 2024).

About Jacquese M Burgess NPPES

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

JACQUESE M BURGESS (NPI 1104665124) is an individual day training/habilitation specialist in Oakland, California and active in the NPI registry since May 2024.

NPPES Registry Identity

NPI1104665124
Entity TypeIndividualFemale
Primary Taxonomy373H00000X
Provider Legal NameJACQUESE M BURGESS
Location Address390 40TH STOakland, CA 94609-2633
Mailing Address390 40th StOakland, CA 94609-2633 · (510) 779-7373 · Fax (510) 569-4589
Phone(510) 899-0128
Fax(510) 569-4589
Sole ProprietorNo
Enumeration DateMay 20, 2024
Last NPPES UpdateSeptember 8, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2026
✔ NPI 1104665124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDay Training/Habilitation SpecialistNursing Service Related Providers
Taxonomy Code373H00000X
Definition
Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living.
Also ListedCommunity Health WorkerTaxonomy 172V00000X
390 40TH ST, Oakland, CA 94609
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Other Names 1

Other Name (5)Jacquese Burgess

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.

THUYMINH NGUYEN
Marriage & Family Therapist
390 40TH ST
OAKLAND, CA 94609
Alameda County (510) 653-5040
NOAH MERL
Social Worker
390 40TH ST
OAKLAND, CA 94609
Alameda County (510) 653-5040
VIRGIL GABA BAGAOISAN
Counselor (Addiction (Substance Use Disorder))
390 40TH ST
OAKLAND, CA 94609
Alameda County (510) 306-5361
DANIELLE CHRISJAN STAUFFER
Social Worker (Clinical)
390 40TH ST
OAKLAND, CA 94609
Alameda County (510) 723-1907
AUJANAE JACKSON
Peer Specialist
390 40TH ST
OAKLAND, CA 94609
Alameda County (510) 613-0330
KIMBERLY JANE GATLIN
Adult Companion
390 40TH ST
OAKLAND, CA 94609
Alameda County (510) 613-0330
SHALIMAR FAYEZ BOULOS LCSW, MSW, MPH
Social Worker (Clinical)
390 40TH ST
OAKLAND, CA 94609
Alameda County (510) 613-0330
LISA NICOLE DEVORE
Counselor
390 40TH ST
OAKLAND, CA 94609
Alameda County (510) 247-8235

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 Jacquese Burgess's NPI number?

The NPI number for Jacquese Burgess is 1104665124. It was assigned to this individual provider in the NPPES registry on May 20, 2024.

Where is Jacquese Burgess located?

Jacquese Burgess practices at 390 40th St, Oakland, CA 94609. The listed phone number is (510) 899-0128.

What is Jacquese Burgess's specialty?

The primary specialty registered for this NPI is Day Training/Habilitation Specialist with taxonomy code 373H00000X.

When was this NPI record last updated?

The NPPES record for Jacquese Burgess was last updated on September 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.