JACKIE GUAN
NPI 1750265575
Student in an Organized Health Care Education/Training Program in San Rafael, CA

Active since August 04, 2025
50 ACACIA AVE, SAN RAFAEL, CA 94901(415) 457-4440 Get Directions Write a Review

NPPES record last updated: August 4, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jackie Guan NPPES

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

JACKIE GUAN (NPI 1750265575) is an individual student in an organized health care education/training program in San Rafael, California and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1750265575
Entity TypeIndividual
Primary Taxonomy390200000X
Provider Legal NameJACKIE GUAN
Location Address50 ACACIA AVESan Rafael, CA 94901-2230
Mailing Address7711 Praline WayElk Grove, CA 95758-9563
Sole ProprietorNo
Enumeration DateAugust 4, 2025
NPPES CertifiedAugust 4, 2025
NPI 1750265575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

50 ACACIA AVE, San Rafael, CA 94901

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.

Physician Assistant
50 ACACIA AVE
SAN RAFAEL, CA 94901
Student in an Organized Health Care Education/Training Program
50 ACACIA AVE
SAN RAFAEL, CA 94901
Physician Assistant
50 ACACIA AVE
SAN RAFAEL, CA 94901
Student in an Organized Health Care Education/Training Program
50 ACACIA AVE
SAN RAFAEL, CA 94901
Student in an Organized Health Care Education/Training Program
50 ACACIA AVE
SAN RAFAEL, CA 94901
Physician Assistant
50 ACACIA AVE, MEADOWLANDS 302
SAN RAFAEL, CA 94901
Student in an Organized Health Care Education/Training Program
50 ACACIA AVE
SAN RAFAEL, CA 94901
Student in an Organized Health Care Education/Training Program
50 ACACIA AVE
SAN RAFAEL, CA 94901

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 Guan's NPI number?

The NPI number for Jackie Guan is 1750265575. It was assigned to this individual provider in the NPPES registry on August 4, 2025.

Where is Jackie Guan located?

Jackie Guan practices at 50 Acacia Ave, San Rafael, CA 94901. The listed phone number is (415) 457-4440.

What is Jackie Guan's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jackie Guan was last updated on August 4, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.