FATEEN LATEEF JACKSON I
NPI 1730901836
Community Health Worker in Fairfield, CA

Active since October 29, 2024
2101 COURAGE DR, FAIRFIELD, CA 94533(707) 646-4600 Get Directions Write a Review

NPPES record last updated: October 29, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Fateen Lateef Jackson I NPPES

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

FATEEN LATEEF JACKSON I (NPI 1730901836) is an individual community health worker in Fairfield, California and active in the NPI registry since October 2024.

NPPES Registry Identity

NPI1730901836
Entity TypeIndividualMale
Primary Taxonomy172V00000X
Provider Legal NameFATEEN LATEEF JACKSON I
Location Address2101 COURAGE DRFairfield, CA 94533-6717
Mailing Address2101 Courage DrFairfield, CA 94533-6717 · (707) 646-4600
Sole ProprietorNo
Enumeration DateOctober 29, 2024
NPPES CertifiedOctober 29, 2024
NPI 1730901836 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity Health WorkerOther Service Providers
Taxonomy Code172V00000X
Definition

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.

2101 COURAGE DR, Fairfield, CA 94533

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.

Nurse Practitioner (Family)
2101 COURAGE DR
FAIRFIELD, CA 94533
Dietitian, Registered
2101 COURAGE DR, MS 10-100, SCH AND SS
FAIRFIELD, CA 94533
Psychiatry & Neurology (Psychiatry)
2101 COURAGE DR
FAIRFIELD, CA 94533
Psychiatry & Neurology (Psychiatry)
2101 COURAGE DR, BOX 4090, MAIL STATION 10-300
FAIRFIELD, CA 94533
Nurse Practitioner (Family)
2101 COURAGE DR
FAIRFIELD, CA 94533
Dentist (Dental Public Health)
2101 COURAGE DR
FAIRFIELD, CA 94533
Psychiatric Hospital
2101 COURAGE DR
FAIRFIELD, CA 94533
Social Worker (Clinical)
2101 COURAGE DR, MS 10-100
FAIRFIELD, CA 94533

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 Fateen Jackson's NPI number?

The NPI number for Fateen Jackson is 1730901836. It was assigned to this individual provider in the NPPES registry on October 29, 2024.

Where is Fateen Jackson located?

Fateen Jackson practices at 2101 Courage Dr, Fairfield, CA 94533. The listed phone number is (707) 646-4600.

What is Fateen Jackson's specialty?

The primary specialty registered for this NPI is Community Health Worker with taxonomy code 172V00000X.

When was this NPI record last updated?

The NPPES record for Fateen Jackson was last updated on October 29, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.