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STEVEN JACKSON
NPI 1831086388
Lodging in Stockton, CA

Active since June 18, 2025
3627 SAN RAFAEL AVE, STOCKTON, CA 95204(650) 670-2490(209) 265-0101 Get Directions Write a Review

NPPES record last updated: June 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Steven Jackson NPPES

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

STEVEN JACKSON (NPI 1831086388) is an individual lodging provider in Stockton, California and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1831086388
Entity TypeIndividualMale
Primary Taxonomy177F00000X
Provider Legal NameSTEVEN JACKSON
Location Address3627 SAN RAFAEL AVEStockton, CA 95204-2413
Mailing Address1308 Madera AveMenlo Park, CA 94025-1508 · (650) 670-2490 · Fax (209) 265-0101
Phone(650) 670-2490
Fax(209) 265-0101
Sole ProprietorYes
Enumeration DateJune 18, 2025
NPPES CertifiedJune 18, 2025
✔ NPI 1831086388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLodgingOther Service Providers
Taxonomy Code177F00000X
Definition
A public or privately owned facility providing overnight lodging to individuals traveling long distances or receiving prolonged outpatient medical services away from home.
3627 SAN RAFAEL AVE, Stockton, CA 95204
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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 Steven Jackson's NPI number?

The NPI number for Steven Jackson is 1831086388. It was assigned to this individual provider in the NPPES registry on June 18, 2025.

Where is Steven Jackson located?

Steven Jackson practices at 3627 San Rafael Ave, Stockton, CA 95204. The listed phone number is (650) 670-2490.

What is Steven Jackson's specialty?

The primary specialty registered for this NPI is Lodging with taxonomy code 177F00000X.

When was this NPI record last updated?

The NPPES record for Steven Jackson was last updated on June 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.