KIM JACKSON
NPI 1902257389
Community Health Worker in San Bernardino, CA

Active since June 27, 2016
1481 WINDSOR DR, SAN BERNARDINO, CA 92404(951) 643-2340 Get Directions Write a Review

NPPES record last updated: November 30, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 13, 2022, Jan 27, 2022, Feb 21, 2020 and 3 more (6 updates tracked since 2016).

About Kim Jackson NPPES

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

KIM JACKSON (NPI 1902257389) is an individual community health worker in San Bernardino, California and active in the NPI registry since June 2016. She maintains 3 additional practice locations.

NPPES Registry Identity

NPI1902257389
Entity TypeIndividualFemale
Primary Taxonomy172V00000X
Provider Legal NameKIM JACKSON
Location Address1481 WINDSOR DRSan Bernardino, CA 92404-5416
Mailing Address3125 Myers StRiverside, CA 92503-5527 · (951) 358-5862
Sole ProprietorNo
Enumeration DateJune 27, 2016
Last NPPES UpdateNovember 30, 20236 updates tracked since enumeration
NPPES CertifiedNovember 30, 2023
NPI 1902257389 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyCommunity Health WorkerOther Service Providers
Taxonomy Code172V00000X
Definition
Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status and life experiences with the community members they serve. They have been identified by many titles such as community health advisors, lay health advocates, promotores(as), outreach educators, community health representatives, peer health promoters, and peer health educators. CHWs offer interpretation and translation services, provide culturally appropriate health education and information, assist people in receiving the care they need, give informal counseling and guidance on health behaviors, advocate for individual and community health needs, and provide some direct services such as first aid and blood pressure screening. Some examples of these practitioners are Community Health Aides or Practitioners established under 25 USC 1616 (l) under HHS, Indian Health Service, Public Health Service.
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
Also ListedPeer SpecialistTaxonomy 175T00000X
1481 WINDSOR DR, San Bernardino, CA 92404

Secondary Practice Locations 3

Location 122445 Alessandro Blvd Ste 113-114Moreno Valley, CA 92553-8358 · Phone (951) 788-8812
Location 26235 River Crest Dr Ste ORiverside, CA 92507-0758 · Phone (951) 653-7561 · Fax (951) 653-7563
Location 33125 Myers StRiverside, CA 92503-5527 · Phone (951) 358-5862

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.

Licensed Psychiatric Technician
1481 WINDSOR DR
SAN BERNARDINO, CA 92404
Counselor (Mental Health)
1481 WINDSOR DR
SAN BERNARDINO, CA 92404
Social Worker
1481 WINDSOR DR
SAN BERNARDINO, CA 92404
Licensed Vocational Nurse
1481 WINDSOR DR
SAN BERNARDINO, CA 92404
Social Worker
1481 WINDSOR DR
SAN BERNARDINO, CA 92404
Registered Nurse
1481 WINDSOR DR
SAN BERNARDINO, CA 92404
Community Health Worker
1481 WINDSOR DR
SAN BERNARDINO, CA 92404
Student in an Organized Health Care Education/Training Program
1481 WINDSOR DR
SAN BERNARDINO, CA 92404

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 Kim Jackson's NPI number?

The NPI number for Kim Jackson is 1902257389. It was assigned to this individual provider in the NPPES registry on June 27, 2016.

Where is Kim Jackson located?

Kim Jackson practices at 1481 Windsor Dr, San Bernardino, CA 92404. The listed phone number is (951) 643-2340.

What is Kim Jackson's specialty?

The primary specialty registered for this NPI is Community Health Worker with taxonomy code 172V00000X.

When was this NPI record last updated?

The NPPES record for Kim Jackson was last updated on November 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.