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MR. ROBERT ROMULUS JACKSON I
NPI 1164058657
Rehabilitation Practitioner in Sylmar, CA

Active since March 17, 2020
11600 ELDRIDGE AVE, SYLMAR, CA 91342(661) 208-9964 Get Directions Write a Review

NPPES record last updated: June 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 10, 2025, Mar 17, 2020 (2 updates tracked since 2020).

About Mr. Robert Romulus Jackson I NPPES

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

MR. ROBERT ROMULUS JACKSON I (NPI 1164058657) is an individual rehabilitation practitioner in Sylmar, California and active in the NPI registry since March 2020.

NPPES Registry Identity

NPI1164058657
Entity TypeIndividualMale
Primary Taxonomy225400000X
Provider Legal NameMR. ROBERT ROMULUS JACKSON I
Location Address11600 ELDRIDGE AVESylmar, CA 91342-6506
Mailing Address11600 Eldridge AveSylmar, CA 91342-6506 · (661) 208-9964
Phone(661) 208-9964
Sole ProprietorNo
Enumeration DateMarch 17, 2020
Last NPPES UpdateJune 10, 20252 updates tracked since enumeration
NPPES CertifiedJune 10, 2025
✔ NPI 1164058657 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
11600 ELDRIDGE AVE, Sylmar, CA 91342
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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.

LEIGH ANN MARIE GREENFIELD MFTI
Counselor (Mental Health)
11600 ELDRIDGE AVE
LAKE VIEW TERRACE, CA 91342
Los Angeles County (818) 686-3000
MICHAEL ANDREW TRUJILLO CADCII
Counselor (Addiction (Substance Use Disorder))
11600 ELDRIDGE AVE
LAKE VIEW TERRACE, CA 91342
Los Angeles County (818) 686-3177
MR. PEDRAM MOSHFEGH MA
Marriage & Family Therapist
11600 ELDRIDGE AVE
LAKE VIEW TERRACE, CA 91342
Los Angeles County (310) 913-3292
ORLI BEHBOUDIKHA
Student in an Organized Health Care Education/Training Program
11600 ELDRIDGE AVE
SYLMAR, CA 91342
Los Angeles County (818) 686-3000
JOCELYNE NAOMI DEL CID
Student in an Organized Health Care Education/Training Program
11600 ELDRIDGE AVE
LAKE VIEW TERRACE, CA 91342
Los Angeles County (818) 868-3000
DAISY BARRERA
Social Worker (Clinical)
11600 ELDRIDGE AVE
LAKE VIEW TERRACE, CA 91342
Los Angeles County (818) 686-3000
RENAE BARASSI
Student in an Organized Health Care Education/Training Program
11600 ELDRIDGE AVE
LAKE VIEW TERRACE, CA 91342
Los Angeles County (888) 671-9392
WENDY XIOMARA HERNANDEZ ORELLANA
Peer Specialist
11600 ELDRIDGE AVE
LAKE VIEW TERRACE, CA 91342
Los Angeles County (661) 361-6130

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 Robert Jackson's NPI number?

The NPI number for Robert Jackson is 1164058657. It was assigned to this individual provider in the NPPES registry on March 17, 2020.

Where is Robert Jackson located?

Robert Jackson practices at 11600 Eldridge Ave, Sylmar, CA 91342. The listed phone number is (661) 208-9964.

What is Robert 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 Robert Jackson was last updated on June 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.