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TASHAKA JACK LVN
NPI 1861044828
Licensed Vocational Nurse in Woodland Hills, CA

Active since July 10, 2019
4900 SERRANIA AVE, WOODLAND HILLS, CA 91364(818) 347-1577 Get Directions Write a Review

NPPES record last updated: July 10, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Tashaka Jack Lvn NPPES

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

TASHAKA JACK LVN (NPI 1861044828) is an individual licensed vocational nurse in Woodland Hills, California, licensed in California (685554) and active in the NPI registry since July 2019. She maintains a secondary practice location in Woodland Hills.

NPPES Registry Identity

NPI1861044828
Entity TypeIndividualFemale
Primary Taxonomy164X00000X
Provider Legal NameTASHAKA JACKCredential: LVN
Location Address4900 SERRANIA AVEWoodland Hills, CA 91364
Mailing Address4900 Serrania AveWoodland Hills, CA 91364-3301
Phone(818) 347-1577
Sole ProprietorNo
Enumeration DateJuly 10, 2019
✔ NPI 1861044828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Vocational NurseNursing Service Providers
Taxonomy Code164X00000X
License✔ Licensed in CA · 685554
Definition

A licensed vocational nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.

4900 SERRANIA AVE, Woodland Hills, CA 91364
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Secondary Practice Location 1

Location 14900 Serrania AveWoodland Hills, CA 91364 · Phone (818) 347-1577

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.

LISA DEAN DAVIS B.A., M.A.
Rehabilitation Practitioner
4900 SERRANIA AVE
WOODLAND HILLS, CA 91364
Los Angeles County (818) 657-3143
MRS. MARJATTA VARPU DESCHEPPER MFT
Marriage & Family Therapist
4900 SERRANIA AVE
WOODLAND HILLS, CA 91364
Los Angeles County (818) 657-3136
RASHAD ABDUR-RAHIM LVN
Licensed Vocational Nurse
4900 SERRANIA AVE
WOODLAND HILLS, CA 91364
Los Angeles County (818) 697-3118
MS. SHARAREH - GHEDARI MFT LICENSED
Marriage & Family Therapist
4900 SERRANIA AVE
WOODLAND HILLS, CA 91364
Los Angeles County (818) 657-3109
MR. WILFRED LILJE CATC, R.R.W.
Rehabilitation Practitioner
4900 SERRANIA AVE
WOODLAND HILLS, CA 91364
Los Angeles County (818) 347-1121
ROBERT L GERNER
Rehabilitation Practitioner
4900 SERRANIA AVE
WOODLAND HILLS, CA 91364
Los Angeles County (818) 347-1577
PAMELA ASHBY MFT
Marriage & Family Therapist
4900 SERRANIA AVE
WOODLAND HILLS, CA 91364
Los Angeles County (818) 347-1577
SHIREEN SPENCER LVN
Licensed Vocational Nurse
4900 SERRANIA AVE
WOODLAND HILLS, CA 91364
Los Angeles County (818) 347-1577

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 Tashaka Jack's NPI number?

The NPI number for Tashaka Jack is 1861044828. It was assigned to this individual provider in the NPPES registry on July 10, 2019.

Where is Tashaka Jack located?

Tashaka Jack practices at 4900 Serrania Ave, Woodland Hills, CA 91364. The listed phone number is (818) 347-1577.

What is Tashaka Jack's specialty?

The primary specialty registered for this NPI is Licensed Vocational Nurse with taxonomy code 164X00000X.

When was this NPI record last updated?

The NPPES record for Tashaka Jack was last updated on July 10, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.