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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SEAN JACKSON
NPI 1336074830
Rehabilitation Practitioner in San Diego, CA

Active since June 16, 2026
7220 TRADE ST STE 102, SAN DIEGO, CA 92121(619) 291-9347 Get Directions Write a Review

NPPES record last updated: November 5, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Sean Jackson NPPES

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

SEAN JACKSON (NPI 1336074830) is an individual rehabilitation practitioner in San Diego, California and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1336074830
Entity TypeIndividualMale
Primary Taxonomy225400000X
Provider Legal NameSEAN JACKSON
Location Address7220 TRADE ST STE 102San Diego, CA 92121-2325
Mailing Address7220 Trade St Ste 102San Diego, CA 92121-2325 · (619) 291-9347
Phone(619) 291-9347
Sole ProprietorNo
Enumeration DateJune 16, 2026
Last NPPES UpdateNovember 5, 2026
NPPES CertifiedNovember 5, 2026
✔ NPI 1336074830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
7220 TRADE ST STE 102, San Diego, CA 92121
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Other Names 1

Other Name (5)Kenji Jackson

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RAQUEL MARIE TRAHAN
Day Training/Habilitation Specialist
7220 TRADE ST STE 102
SAN DIEGO, CA 92121
San Diego County (619) 291-9347
DESMON FLETCHER LYNN
Rehabilitation Practitioner
7220 TRADE ST STE 102
SAN DIEGO, CA 92121
San Diego County (619) 291-9347
ALEXIS BERLIN LEMA
Social Worker (Clinical)
7220 TRADE ST STE 102
SAN DIEGO, CA 92121
San Diego County (619) 291-9347
CHBREENA MONIQUE WHITFIELD
Social Worker (Clinical)
7220 TRADE ST STE 102
SAN DIEGO, CA 92121
San Diego County (619) 291-9347
MACKENZIE GRIPP
Day Training/Habilitation Specialist
7220 TRADE ST STE 102
SAN DIEGO, CA 92121
San Diego County (619) 291-9347
CHRISTOPHER ANTHONY FRANCO-ARREOLA
Rehabilitation Practitioner
7220 TRADE ST STE 102
SAN DIEGO, CA 92121
San Diego County (619) 291-9347
ALEXA WELLS
Day Training/Habilitation Specialist
7220 TRADE ST STE 102
SAN DIEGO, CA 92121
San Diego County (619) 291-9347
NATALIE JEAN FREDRICKS MA, AMFT
Marriage & Family Therapist
7220 TRADE ST STE 102
SAN DIEGO, CA 92121
San Diego County (619) 291-9347

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 Sean Jackson's NPI number?

The NPI number for Sean Jackson is 1336074830. It was assigned to this individual provider in the NPPES registry on June 16, 2026. The provider is also known as Kenji Jackson.

Where is Sean Jackson located?

Sean Jackson practices at 7220 Trade St Ste 102, San Diego, CA 92121. The listed phone number is (619) 291-9347.

What is Sean 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 Sean Jackson was last updated on November 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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.