JACKIE M BERG
NPI 1568279032
Driver in Forbestown, CA
About Jackie M Berg NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACKIE M BERG (NPI 1568279032) is an individual driver provider in Forbestown, California and active in the NPI registry since December 2024.
NPPES Registry Identity
Specialties & Licenses
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 Jackie Berg's NPI number?
The NPI number for Jackie Berg is 1568279032. It was assigned to this individual provider in the NPPES registry on December 17, 2024.
Where is Jackie Berg located?
Jackie Berg practices at 18997 New York Flat Rd., Forbestown, CA 95941. The listed phone number is (530) 675-2577.
What is Jackie Berg's specialty?
The primary specialty registered for this NPI is Driver with taxonomy code 172A00000X.
When was this NPI record last updated?
The NPPES record for Jackie Berg was last updated on January 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.
# Jackie M Berg · NPI 1568279032
Driver provider in Forbestown, California. Individual provider, active in the CMS NPPES registry since December 17, 2024.
## Identity
- **NPI:** 1568279032 (Entity type: Individual)
- **Enumerated:** December 17, 2024
- **Primary specialty:** Driver · taxonomy 172A00000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 18997 NEW YORK FLAT RD., Forbestown, CA 95941-0037
- **Phone:** (530) 675-2577
## Record status
- **NPPES last updated:** January 16, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1568279032) · Data from the CMS NPPES public registry.