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MR. LEE ALVIN JACKSON
NPI 1821174392
Day Training/Habilitation Specialist in Hawthorne, CA

Active since October 27, 2006
2311 W EL SEGUNDO BLVD, HAWTHORNE, CA 90250(310) 970-5000 Get Directions Write a Review

NPPES record last updated: May 15, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: May 15, 2025, Jun 6, 2023, Mar 23, 2021 (3 updates tracked since 2021).

About Mr. Lee Alvin Jackson NPPES

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

MR. LEE ALVIN JACKSON (NPI 1821174392) is an individual day training/habilitation specialist in Hawthorne, California and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1821174392
Entity TypeIndividualMale
Primary Taxonomy373H00000X
Provider Legal NameMR. LEE ALVIN JACKSON
Location Address2311 W EL SEGUNDO BLVDHawthorne, CA 90250-3315
Mailing Address2311 W El Segundo BlvdHawthorne, CA 90250-3315 · (323) 241-6730
Phone(310) 970-5000
Sole ProprietorYes
Enumeration DateOctober 27, 2006
Last NPPES UpdateMay 15, 20253 updates tracked since enumeration
NPPES CertifiedMay 15, 2025
✔ NPI 1821174392 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDay Training/Habilitation SpecialistNursing Service Related Providers
Taxonomy Code373H00000X
Definition
Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living.
Also ListedCommunity Health WorkerTaxonomy 172V00000X
2311 W EL SEGUNDO BLVD, Hawthorne, CA 90250
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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.

LUIS CABRERA
Community Health Worker
2311 W EL SEGUNDO BLVD
HAWTHORNE, CA 90250
Los Angeles County (323) 241-6731
TINA TIMMY CHUNG LCSW
Social Worker (Clinical)
2311 W EL SEGUNDO BLVD
HAWTHORNE, CA 90250
Los Angeles County (323) 241-6730
MRS. ZENOBIA JEAN MERRITT
Clinic/Center
2311 W EL SEGUNDO BLVD
HAWTHORNE, CA 90250
Los Angeles County (323) 241-6730
MR. HARRY TAN DO
Psychiatry & Neurology (Psychiatry)
2311 W EL SEGUNDO BLVD
HAWTHORNE, CA 90250
Los Angeles County (323) 241-6730
JAMES JUNG M.D.
Psychiatry & Neurology (Psychiatry)
2311 W EL SEGUNDO BLVD
HAWTHORNE, CA 90250
Los Angeles County (323) 241-6730
SHEENA HORTON
Student in an Organized Health Care Education/Training Program
2311 W EL SEGUNDO BLVD
HAWTHORNE, CA 90250
Los Angeles County (323) 241-6890
DR. MARLON YOUNG PH.D, L.C.S.W, M.P.A
Psychologist (Clinical)
2311 W EL SEGUNDO BLVD
HAWTHORNE, CA 90250
Los Angeles County (323) 241-6730
EVALYN BEAUCHAMP LCSW
Social Worker (Clinical)
2311 W EL SEGUNDO BLVD
HAWTHORNE, CA 90250
Los Angeles County (323) 241-6730

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 Lee Jackson's NPI number?

The NPI number for Lee Jackson is 1821174392. It was assigned to this individual provider in the NPPES registry on October 27, 2006.

Where is Lee Jackson located?

Lee Jackson practices at 2311 W El Segundo Blvd, Hawthorne, CA 90250. The listed phone number is (310) 970-5000.

What is Lee Jackson's specialty?

The primary specialty registered for this NPI is Day Training/Habilitation Specialist with taxonomy code 373H00000X.

When was this NPI record last updated?

The NPPES record for Lee Jackson was last updated on May 15, 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.