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TATIANA JACKSON
NPI 1285266171
Day Training/Habilitation Specialist in Stockton, CA

Active since February 07, 2020
1212 N CALIFORNIA ST, STOCKTON, CA 95202(209) 468-8786 Get Directions Write a Review

NPPES record last updated: June 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 2, 2025, Oct 30, 2023, Feb 13, 2020 and 1 more (4 updates tracked since 2020).

About Tatiana Jackson NPPES

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

TATIANA JACKSON (NPI 1285266171) is an individual day training/habilitation specialist in Stockton, California and active in the NPI registry since February 2020.

NPPES Registry Identity

NPI1285266171
Entity TypeIndividualFemale
Primary Taxonomy373H00000X
Provider Legal NameTATIANA JACKSON
Location Address1212 N CALIFORNIA STStockton, CA 95202-1552
Mailing Address1212 N California StStockton, CA 95202-1552 · (209) 468-8786
Phone(209) 468-8786
Sole ProprietorNo
Enumeration DateFebruary 7, 2020
Last NPPES UpdateJune 2, 20254 updates tracked since enumeration
NPPES CertifiedJune 2, 2025
✔ NPI 1285266171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ 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 ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedCommunity Health WorkerTaxonomy 172V00000X
Also ListedPeer SpecialistTaxonomy 175T00000X
1212 N CALIFORNIA ST, Stockton, CA 95202
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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.

SAN JOAQUIN COUNTY BEHAVIORAL HEALTH SERVICES
Clinic/Center (Mental Health (Including Community Mental Health Center))
1212 N CALIFORNIA ST
STOCKTON, CA 95202
San Joaquin County (209) 468-8700
PENNY GIBBONS BURKE RPH
Pharmacist
1212 N CALIFORNIA ST
STOCKTON, CA 95202
San Joaquin County (209) 468-8711
DOLORIS MOODY
Case Manager/Care Coordinator
1212 N CALIFORNIA ST
STOCKTON, CA 95202
San Joaquin County (209) 468-8660
MS. DELIA ORDAZ RN
Registered Nurse
1212 N CALIFORNIA ST
STOCKTON, CA 95202
San Joaquin County (209) 468-3760
DONNA L BICKHAM ACSW
Social Worker (Clinical)
1212 N CALIFORNIA ST
STOCKTON, CA 95202
San Joaquin County (209) 953-7313
RITA N. MENDOZA
Technician, Other
1212 N CALIFORNIA ST
STOCKTON, CA 95202
San Joaquin County (209) 468-8718
MR. KENNETH RAY COCIO
Counselor (Mental Health)
1212 N CALIFORNIA ST
STOCKTON, CA 95202
San Joaquin County (209) 468-8660
ANDREA MICHELLE HERNANDEZ
Counselor (Mental Health)
1212 N CALIFORNIA ST
STOCKTON, CA 95202
San Joaquin County (209) 468-8686

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 Tatiana Jackson's NPI number?

The NPI number for Tatiana Jackson is 1285266171. It was assigned to this individual provider in the NPPES registry on February 7, 2020.

Where is Tatiana Jackson located?

Tatiana Jackson practices at 1212 N California St, Stockton, CA 95202. The listed phone number is (209) 468-8786.

What is Tatiana Jackson'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 Tatiana Jackson was last updated on June 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.