CARRIE JACKSON CA-CPT1
NPI 1417727595
Technician, Pathology - Phlebotomy in Diamond Bar, CA

Active since January 08, 2024
1370 VALLEY VISTA DR STE 200, DIAMOND BAR, CA 91765(840) 236-0671 Get Directions Write a Review

NPPES record last updated: May 10, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Carrie Jackson Ca-cpt1 NPPES

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

CARRIE JACKSON CA-CPT1 (NPI 1417727595) is an individual phlebotomy provider in Diamond Bar, California, licensed in California (CPT00064512) and active in the NPI registry since January 2024.

NPPES Registry Identity

NPI1417727595
Entity TypeIndividualFemale
Primary Taxonomy246RP1900X
Provider Legal NameCARRIE JACKSONCredential: CA-CPT1
Location Address1370 VALLEY VISTA DR STE 200Diamond Bar, CA 91765-3921
Mailing Address1370 Valley Vista Dr Ste 200Diamond Bar, CA 91765-3921 · (840) 236-0671
Sole ProprietorNo
Enumeration DateJanuary 8, 2024
Last NPPES UpdateMay 10, 2024
NPPES CertifiedMay 10, 2024
NPI 1417727595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyTechnician, Pathology · PhlebotomyTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246RP1900X
License Licensed in CA · CPT00064512
1370 VALLEY VISTA DR STE 200, Diamond Bar, CA 91765

Other Providers at the Same Location NPPES 15

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

Marriage & Family Therapist
1370 VALLEY VISTA DR STE 200
DIAMOND BAR, CA 91765
Marriage & Family Therapist
1370 VALLEY VISTA DR STE 200
DIAMOND BAR, CA 91765
Clinic/Center (Rehabilitation, Substance Use Disorder)
1370 VALLEY VISTA DR STE 200
DIAMOND BAR, CA 91765
In Home Supportive Care
1370 VALLEY VISTA DR STE 200
DIAMOND BAR, CA 91765
Nurse Practitioner (Psychiatric/Mental Health)
1370 VALLEY VISTA DR STE 200
DIAMOND BAR, CA 91765
Hearing Instrument Specialist
1370 VALLEY VISTA DR STE 200
DIAMOND BAR, CA 91765
Hearing Instrument Specialist
1370 VALLEY VISTA DR STE 200
DIAMOND BAR, CA 91765
Psychologist (Clinical)
1370 VALLEY VISTA DR STE 200
DIAMOND BAR, CA 91765

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 Carrie Jackson's NPI number?

The NPI number for Carrie Jackson is 1417727595. It was assigned to this individual provider in the NPPES registry on January 8, 2024.

Where is Carrie Jackson located?

Carrie Jackson practices at 1370 Valley Vista Dr Ste 200, Diamond Bar, CA 91765. The listed phone number is (840) 236-0671.

What is Carrie Jackson's specialty?

The primary specialty registered for this NPI is Technician, Pathology, specializing in Phlebotomy, with taxonomy code 246RP1900X.

When was this NPI record last updated?

The NPPES record for Carrie Jackson was last updated on May 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.