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JACKY B HA
NPI 1104761865
Student in an Organized Health Care Education/Training Program in Elk Grove, CA

Active since April 21, 2026
4604 TEGAN RD, ELK GROVE, CA 95758(916) 879-1286 Get Directions Write a Review

NPPES record last updated: April 21, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Jacky B Ha NPPES

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

JACKY B HA (NPI 1104761865) is an individual student in an organized health care education/training program in Elk Grove, California, licensed in California (390200000X) and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1104761865
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJACKY B HA
Location Address4604 TEGAN RDElk Grove, CA 95758-5147
Mailing Address4604 Tegan RdElk Grove, CA 95758-5147 · (916) 879-1286
Phone(916) 879-1286
Sole ProprietorNo
Enumeration DateApril 21, 2026
NPPES CertifiedApril 21, 2026
✔ NPI 1104761865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in CA · 390200000X
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.
4604 TEGAN RD, Elk Grove, CA 95758
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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 Jacky Ha's NPI number?

The NPI number for Jacky Ha is 1104761865. It was assigned to this individual provider in the NPPES registry on April 21, 2026.

Where is Jacky Ha located?

Jacky Ha practices at 4604 Tegan Rd, Elk Grove, CA 95758. The listed phone number is (916) 879-1286.

What is Jacky Ha's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jacky Ha was last updated on April 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.