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LA PORSCHE MICHELLE JACKSON M.ED/CI
NPI 1760274831
Rehabilitation Practitioner in Riverside, CA

Active since May 22, 2025
10672 PENDLETON ST, RIVERSIDE, CA 92505(310) 912-5168 Get Directions Write a Review

NPPES record last updated: June 10, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About La Porsche Michelle Jackson M.ed/ci NPPES

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

LA PORSCHE MICHELLE JACKSON M.ED/CI (NPI 1760274831) is an individual rehabilitation practitioner in Riverside, California and active in the NPI registry since May 2025. She maintains a secondary practice location in Santa Ana.

NPPES Registry Identity

NPI1760274831
Entity TypeIndividualFemale
Primary Taxonomy225400000X
Provider Legal NameLA PORSCHE MICHELLE JACKSONCredential: M.ED/CI
Location Address10672 PENDLETON STRiverside, CA 92505-1740
Mailing Address22890 Pahute DrMoreno Valley, CA 92553-6427 · (310) 912-5168
Phone(310) 912-5168
Sole ProprietorYes
Enumeration DateMay 22, 2025
Last NPPES UpdateJune 10, 2026
NPPES CertifiedJune 10, 2026
✔ NPI 1760274831 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
10672 PENDLETON ST, Riverside, CA 92505
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Secondary Practice Location 1

Location 12201 E 4th StSanta Ana, CA 92705-3804 · Phone (310) 912-5168

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BELINDA SPEARS-GIPSON
Marriage & Family Therapist
10672 PENDLETON ST
RIVERSIDE, CA 92505
Riverside County (951) 840-7662
BRIGHTER HORIZON GROUP HOMES, INC.
Community Based Residential Treatment Facility, Mental Illness
10672 PENDLETON ST
RIVERSIDE, CA 92505
Riverside County (310) 909-3817
RACHEL SIDNEY POST-BROUSSARD AMFT136750
Marriage & Family Therapist
10672 PENDLETON ST
RIVERSIDE, CA 92505
Riverside County (951) 892-9304
DR. DAVID M SCARPINO MD
Psychiatry & Neurology (Psychiatry)
10672 PENDLETON ST
RIVERSIDE, CA 92505
Riverside County (951) 907-6820
LORENA ROSA MULLER MSHSA
Rehabilitation Practitioner
10672 PENDLETON ST
RIVERSIDE, CA 92505
Riverside County (951) 729-6005

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 La Porsche Jackson's NPI number?

The NPI number for La Porsche Jackson is 1760274831. It was assigned to this individual provider in the NPPES registry on May 22, 2025.

Where is La Porsche Jackson located?

La Porsche Jackson practices at 10672 Pendleton St, Riverside, CA 92505. The listed phone number is (310) 912-5168.

What is La Porsche 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 La Porsche Jackson was last updated on June 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.