JACORI SADIE HABTOM
NPI 1871082040
Licensed Vocational Nurse in San Francisco, CA

Q: What is Jacori Habtom's NPI number?

The NPI number for Jacori Habtom is 1871082040. It was assigned to this individual provider in the NPPES registry on May 3, 2018.

Q: What is Jacori Habtom's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jacori Habtom was last updated on May 3, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.

Active since May 03, 2018

101 GOUGH ST, SAN FRANCISCO, CA 94102(510) 553-4490 Get Directions Write a Review

NPPES record last updated: May 3, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jacori Sadie Habtom NPPES

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

JACORI SADIE HABTOM (NPI 1871082040) is an individual licensed vocational nurse in San Francisco, California, licensed in California (259652) and active in the NPI registry since May 2018.

NPPES Registry Identity

NPI1871082040

Entity TypeIndividualFemale

Primary Taxonomy164X00000X

Provider Legal NameJACORI SADIE HABTOM

Location Address101 GOUGH STSan Francisco, CA 94102-5903

Mailing Address101 Gough StSan Francisco, CA 94102-5903 · (510) 553-4490

Phone(510) 553-4490

Sole ProprietorYes

Enumeration DateMay 3, 2018

✔ NPI 1871082040 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 · 259652

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.

101 GOUGH ST, San Francisco, CA 94102

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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.

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