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JACKIE DURAZO
NPI 1770438194
Technician - Attendant Care Provider in Imperial Beach, CA

Active since March 02, 2026
561 FLORIDA ST, IMPERIAL BEACH, CA 91932(619) 483-7115 Get Directions Write a Review

NPPES record last updated: March 2, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jackie Durazo NPPES

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

JACKIE DURAZO (NPI 1770438194) is an individual attendant care provider provider in Imperial Beach, California and active in the NPI registry since March 2026.

NPPES Registry Identity

NPI1770438194
Entity TypeIndividualFemale
Primary Taxonomy3747A0650X
Provider Legal NameJACKIE DURAZO
Location Address561 FLORIDA STImperial Beach, CA 91932-1655
Mailing Address1128 26th StSan Diego, CA 92102-1004 · (619) 802-5527
Phone(619) 483-7115
Sole ProprietorYes
Enumeration DateMarch 2, 2026
NPPES CertifiedMarch 2, 2026
✔ NPI 1770438194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician · Attendant Care ProviderNursing Service Related Providers
Taxonomy Code3747A0650X
Definition
An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.
561 FLORIDA ST, Imperial Beach, CA 91932
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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 Durazo's NPI number?

The NPI number for Jackie Durazo is 1770438194. It was assigned to this individual provider in the NPPES registry on March 2, 2026.

Where is Jackie Durazo located?

Jackie Durazo practices at 561 Florida St, Imperial Beach, CA 91932. The listed phone number is (619) 483-7115.

What is Jackie Durazo's specialty?

The primary specialty registered for this NPI is Technician, specializing in Attendant Care Provider, with taxonomy code 3747A0650X.

When was this NPI record last updated?

The NPPES record for Jackie Durazo was last updated on March 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.