LA TASHA JACKSON
NPI 1366233900
Rehabilitation Practitioner in San Diego, CA

Q: What is La Tasha Jackson's NPI number?

The NPI number for La Tasha Jackson is 1366233900. It was assigned to this individual provider in the NPPES registry on May 14, 2025.

Q: What is La Tasha Jackson's specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

Q: When was this NPI record last updated?

The NPPES record for La Tasha Jackson was last updated on November 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since May 14, 2025

5473 KEARNY VILLA RD STE 300, SAN DIEGO, CA 92123(619) 204-0074 Get Directions Write a Review

NPPES record last updated: November 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 6, 2025, May 14, 2025 (2 updates tracked since 2025).

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About La Tasha Jackson NPPES

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

LA TASHA JACKSON (NPI 1366233900) is an individual rehabilitation practitioner in San Diego, California and active in the NPI registry since May 2025.

NPPES Registry Identity

NPI1366233900

Entity TypeIndividualFemale

Primary Taxonomy225400000X

Provider Legal NameLA TASHA JACKSON

Location Address5473 KEARNY VILLA RD STE 300San Diego, CA 92123-1142

Mailing Address5473 Kearny Villa Rd Ste 300San Diego, CA 92123-1142 · (619) 204-0074

Phone(619) 204-0074

Sole ProprietorYes

Enumeration DateMay 14, 2025

Last NPPES UpdateNovember 6, 20252 updates tracked since enumeration

NPPES CertifiedNovember 6, 2025

✔ NPI 1366233900 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 ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 21027 (CA)

5473 KEARNY VILLA RD STE 300, San Diego, CA 92123

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

MICHELE ZHIXIA SCHWARZWALDER RN

Registered Nurse