1. Home
  2. Directory
  3. California
  4. Oxnard
  5. Rehabilitation Practitioner
  6. NPI Profile

KENYON JACKSON
NPI 1700571056
Rehabilitation Practitioner in Oxnard, CA

Active since April 11, 2023
1911 WILLIAMS DR, OXNARD, CA 93036(972) 415-5651 Get Directions Write a Review

NPPES record last updated: April 29, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 3, 2023, Apr 12, 2023 (2 updates tracked since 2023).

About Kenyon Jackson NPPES

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

KENYON JACKSON (NPI 1700571056) is an individual rehabilitation practitioner in Oxnard, California and active in the NPI registry since April 2023.

NPPES Registry Identity

NPI1700571056
Entity TypeIndividualMale
Primary Taxonomy225400000X
Provider Legal NameKENYON JACKSON
Location Address1911 WILLIAMS DROxnard, CA 93036-2612
Mailing Address1911 Williams DrOxnard, CA 93036-2612 · (972) 415-5651
Phone(972) 415-5651
Sole ProprietorNo
Enumeration DateApril 11, 2023
Last NPPES UpdateApril 29, 20252 updates tracked since enumeration
NPPES CertifiedApril 29, 2025
✔ NPI 1700571056 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 ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
1911 WILLIAMS DR, Oxnard, CA 93036
Open in Google Maps ↗

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.

BRANDEE ELIZABETH HERRERA LCSW
Social Worker (Clinical)
1911 WILLIAMS DR
OXNARD, CA 93036
Ventura County (805) 981-9260
TERI L. NORRDIN MFC36165
Marriage & Family Therapist
1911 WILLIAMS DR
OXNARD, CA 93036
Ventura County (805) 981-9258
BRITNEY LEANN JOHNSON M.A.
Student in an Organized Health Care Education/Training Program
1911 WILLIAMS DR
OXNARD, CA 93036
Ventura County (805) 981-8460
ALEX TORRES
Day Training/Habilitation Specialist
1911 WILLIAMS DR
OXNARD, CA 93036
Ventura County (805) 981-9250
MR. JAVIER GARCIA PADILLA
Peer Specialist
1911 WILLIAMS DR
OXNARD, CA 93036
Ventura County (805) 981-8864
KEN PORTER
Counselor (Mental Health)
1911 WILLIAMS DR
OXNARD, CA 93036
Ventura County (805) 981-4200
MS. CYNTHIA GONZALEZ LEAL MFT ASSOCIATE
Counselor (Mental Health)
1911 WILLIAMS DR
OXNARD, CA 93036
Ventura County (058) 981-8460
DIANA ARRIAGA
Social Worker (Clinical)
1911 WILLIAMS DR
OXNARD, CA 93036
Ventura County (805) 981-6830

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 Kenyon Jackson's NPI number?

The NPI number for Kenyon Jackson is 1700571056. It was assigned to this individual provider in the NPPES registry on April 11, 2023.

Where is Kenyon Jackson located?

Kenyon Jackson practices at 1911 Williams Dr, Oxnard, CA 93036. The listed phone number is (972) 415-5651.

What is Kenyon 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 Kenyon Jackson was last updated on April 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.