JACKIE E DIAZ LVN
NPI 1295052090
Licensed Vocational Nurse in San Diego, CA

Q: What is Jackie Diaz's NPI number?

The NPI number for Jackie Diaz is 1295052090. It was assigned to this individual provider in the NPPES registry on May 3, 2010.

Q: What is Jackie Diaz's specialty?

The primary specialty registered for this NPI is Licensed Vocational Nurse with taxonomy code 164X00000X.

Q: When was this NPI record last updated?

The NPPES record for Jackie Diaz was last updated on August 25, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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.

Active since May 03, 2010

5202 UNIVERSITY AVE, CENTRAL REGION PUBLIC HEALTH CENTER, SAN DIEGO, CA 92105(619) 229-5400 Get Directions Write a Review

NPPES record last updated: August 25, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jackie E Diaz Lvn NPPES

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

JACKIE E DIAZ LVN (NPI 1295052090) is an individual licensed vocational nurse in San Diego, California, licensed in California (213510) and active in the NPI registry since May 2010.

NPPES Registry Identity

NPI1295052090

Entity TypeIndividualFemale

Primary Taxonomy164X00000X

Provider Legal NameJACKIE E DIAZCredential: LVN

Location Address5202 UNIVERSITY AVE, CENTRAL REGION PUBLIC HEALTH CENTERSan Diego, CA 92105-2268

Mailing Address512 Alamitos WaySan Marcos, CA 92078-6158 · (760) 727-5510

Phone(619) 229-5400

Sole ProprietorNo

Enumeration DateMay 3, 2010

Last NPPES UpdateAugust 25, 2010

✔ NPI 1295052090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Vocational NurseNursing Service Providers

Taxonomy Code164X00000X

License✔ Licensed in CA · 213510

Definition

A licensed vocational nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.

5202 UNIVERSITY AVE, San Diego, CA 92105

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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.

KATHLEEN JOHNSON R.N., P.H.N., M.S.N.

Registered Nurse