JEREMY BRANDON JACKSON MS
NPI 1689981599
Community Health Worker in San Bernardino, CA

Active since September 13, 2010
165 W HOSPITALITY LN STE 11, SAN BERNARDINO, CA 92408(866) 664-0426(909) 619-3914 Get Directions Write a Review

NPPES record last updated: October 16, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Male
  • Community Health Worker

About JEREMY JACKSON

This page provides the complete NPI Profile along with additional information for Jeremy Jackson, a provider established in San Bernardino, California with a medical specialization in Community Health Worker. The healthcare provider is registered in the NPI registry with number 1689981599 assigned on September 2010. The practitioner's primary taxonomy code is 172V00000X. The provider is registered as an individual and his NPI record was last updated one year ago.

NPI
1689981599 Verify this NPI
Provider Name
JEREMY BRANDON JACKSON MS
Gender
Male
Entity Type
Individual
Location Address
165 W HOSPITALITY LN STE 11 SAN BERNARDINO, CA 92408
Location Phone
(866) 664-0426
Location Fax
(909) 619-3914
Mailing Address
PO BOX 18142 LONG BEACH, CA 90807
Mailing Phone
(310) 704-1971
Is Sole Proprietor?
No
Enumeration Date
09-13-2010
Last Update Date
10-16-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community Health Worker

Taxonomy Code
172V00000X
Type
Other Service Providers
License State
CA
Taxonomy Description
Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status and life experiences with the community members they serve. They have been identified by many titles such as community health advisors, lay health advocates, promotores(as), outreach educators, community health representatives, peer health promoters, and peer health educators. CHWs offer interpretation and translation services, provide culturally appropriate health education and information, assist people in receiving the care they need, give informal counseling and guidance on health behaviors, advocate for individual and community health needs, and provide some direct services such as first aid and blood pressure screening. Some examples of these practitioners are Community Health Aides or Practitioners established under 25 USC 1616 (l) under HHS, Indian Health Service, Public Health Service.

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Other Providers at the Same Location


The following 8 providers are registered at the same or a nearby location.

Case Management
165 W HOSPITALITY LN STE 11
SAN BERNARDINO, CA 92408
Case Management
165 W HOSPITALITY LN STE 11
SAN BERNARDINO, CA 92408
Counselor (Addiction (Substance Use Disorder))
165 W HOSPITALITY LN STE 11
SAN BERNARDINO, CA 92408
Community Health Worker
165 W HOSPITALITY LN STE 11
SAN BERNARDINO, CA 92408
Social Worker
165 W HOSPITALITY LN STE 11
SAN BERNARDINO, CA 92408
Counselor (Addiction (Substance Use Disorder))
165 W HOSPITALITY LN STE 11
SAN BERNARDINO, CA 92408
Community Health Worker
165 W HOSPITALITY LN STE 11, SUITE 11
SAN BERNARDINO, CA 92408
Community Health Worker
165 W HOSPITALITY LN STE 11
SAN BERNARDINO, CA 92408

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1689981599, enumerated as an "individual" on September 13, 2010.

The provider is located at 165 W HOSPITALITY LN STE 11 SAN BERNARDINO, CA 92408 and the phone number is (866) 664-0426.

Community Health Worker with taxonomy code 172V00000X.