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JACKSON WATTS
NPI 1316463433
Student in an Organized Health Care Education/Training Program in Alameda, CA

Active since August 21, 2017
1080 MARINA VILLAGE PKWY STE 100, ALAMEDA, CA 94501(510) 747-0513 Get Directions Write a Review

NPPES record last updated: August 21, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jackson Watts NPPES

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

JACKSON WATTS (NPI 1316463433) is an individual student in an organized health care education/training program in Alameda, California and active in the NPI registry since August 2017.

NPPES Registry Identity

NPI1316463433
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJACKSON WATTS
Location Address1080 MARINA VILLAGE PKWY STE 100Alameda, CA 94501-1078
Mailing Address2390 Portland St Apt 205Los Angeles, CA 90007-1936
Phone(510) 747-0513
Sole ProprietorNo
Enumeration DateAugust 21, 2017
✔ NPI 1316463433 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
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.
1080 MARINA VILLAGE PKWY STE 100, Alameda, CA 94501
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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.

SAMUEL E MIZYED
Student in an Organized Health Care Education/Training Program
1080 MARINA VILLAGE PKWY STE 100
ALAMEDA, CA 94501
Alameda County (510) 337-7950
ALEXANDRIA MARIE GARCIA
Student in an Organized Health Care Education/Training Program
1080 MARINA VILLAGE PKWY STE 100
ALAMEDA, CA 94501
Alameda County (510) 306-5660
MEG KATHERINE LEWIS RN
Registered Nurse
1080 MARINA VILLAGE PKWY STE 100
ALAMEDA, CA 94501
Alameda County (510) 337-7950
BETHANY MARIE RACHEL AMFT
Marriage & Family Therapist
1080 MARINA VILLAGE PKWY STE 100
ALAMEDA, CA 94501
Alameda County (510) 337-7950
BREANA WILES LCSW
Social Worker (Clinical)
1080 MARINA VILLAGE PKWY STE 100
ALAMEDA, CA 94501
Alameda County (510) 217-2329
ROBBIE KUPONO KENOBI LCSW
Social Worker (Clinical)
1080 MARINA VILLAGE PKWY STE 100
ALAMEDA, CA 94501
Alameda County (510) 337-7950
KAUMAYA HALL
Rehabilitation Counselor
1080 MARINA VILLAGE PKWY STE 100
ALAMEDA, CA 94501
Alameda County (510) 337-7950
JEAN CLAUDINE OCTAVIANO ABAC RAIMONDI
Registered Nurse
1080 MARINA VILLAGE PKWY STE 100
ALAMEDA, CA 94501
Alameda County (510) 337-7950

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 Jackson Watts's NPI number?

The NPI number for Jackson Watts is 1316463433. It was assigned to this individual provider in the NPPES registry on August 21, 2017.

Where is Jackson Watts located?

Jackson Watts practices at 1080 Marina Village Pkwy Ste 100, Alameda, CA 94501. The listed phone number is (510) 747-0513.

What is Jackson Watts'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 Jackson Watts was last updated on August 21, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.