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RYAN LELAND JACKSON
NPI 1891665964
Rehabilitation Practitioner in San Jose, CA

Active since November 05, 2025
1302 N 4TH ST, SAN JOSE, CA 95112(408) 379-3796 Get Directions Write a Review

NPPES record last updated: November 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ryan Leland Jackson NPPES

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

RYAN LELAND JACKSON (NPI 1891665964) is an individual rehabilitation practitioner in San Jose, California, licensed in California (E205069) and active in the NPI registry since November 2025.

NPPES Registry Identity

NPI1891665964
Entity TypeIndividualMale
Primary Taxonomy225400000X
Provider Legal NameRYAN LELAND JACKSON
Location Address1302 N 4TH STSan Jose, CA 95112-4713
Mailing Address1302 N 4th StSan Jose, CA 95112-4713 · (408) 379-3796
Phone(408) 379-3796
Sole ProprietorNo
Enumeration DateNovember 5, 2025
NPPES CertifiedNovember 5, 2025
✔ NPI 1891665964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225400000X
License✔ Licensed in CA · E205069
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
1302 N 4TH ST, San Jose, CA 95112
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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.

EMILY DEE VI MS
Student in an Organized Health Care Education/Training Program
1302 N 4TH ST
SAN JOSE, CA 95112
Santa Clara County (800) 906-0862
KARINA PARTIDA ULLOA
Behavior Technician
1302 N 4TH ST
SAN JOSE, CA 95112
Santa Clara County (669) 302-9728
VALERIA FLORES MONTOYA
Behavior Technician
1302 N 4TH ST
SAN JOSE, CA 95112
Santa Clara County (408) 876-4284
COURTNEY JACKSON
Behavior Analyst
1302 N 4TH ST
SAN JOSE, CA 95112
Santa Clara County (408) 379-3790
MICHELLE RODRIGUEZ
Behavior Technician
1302 N 4TH ST
SAN JOSE, CA 95112
Santa Clara County (408) 379-3796
LUKA VERAN WANG BA
Behavior Technician
1302 N 4TH ST
SAN JOSE, CA 95112
Santa Clara County (669) 308-7259
CLEOTILDE HERNANDES VALENCIA
Behavior Technician
1302 N 4TH ST
SAN JOSE, CA 95112
Santa Clara County (669) 308-7168
JILLIAN HARRINGTON PALERMO
Behavior Technician
1302 N 4TH ST
SAN JOSE, CA 95112
Santa Clara County (669) 308-7124

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 Ryan Jackson's NPI number?

The NPI number for Ryan Jackson is 1891665964. It was assigned to this individual provider in the NPPES registry on November 5, 2025.

Where is Ryan Jackson located?

Ryan Jackson practices at 1302 N 4th St, San Jose, CA 95112. The listed phone number is (408) 379-3796.

What is Ryan Jackson's specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

When was this NPI record last updated?

The NPPES record for Ryan Jackson was last updated on November 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.