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RADIANCE JACKSON
NPI 1942705074
Student in an Organized Health Care Education/Training Program in Riverside, CA

Active since March 29, 2018
3532 MONROE ST, RIVERSIDE, CA 92504(951) 687-4610 Get Directions Write a Review

NPPES record last updated: March 29, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Radiance Jackson NPPES

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

RADIANCE JACKSON (NPI 1942705074) is an individual student in an organized health care education/training program in Riverside, California and active in the NPI registry since March 2018.

NPPES Registry Identity

NPI1942705074
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameRADIANCE JACKSON
Location Address3532 MONROE STRiverside, CA 92504-6322
Mailing Address12955 Moreno Beach Dr Apt 1204Moreno Valley, CA 92555-4478
Phone(951) 687-4610
Sole ProprietorNo
Enumeration DateMarch 29, 2018
✔ NPI 1942705074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3532 MONROE ST, Riverside, CA 92504
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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.

JESSICA LEE HENSON
Student in an Organized Health Care Education/Training Program
3532 MONROE ST
RIVERSIDE, CA 92504
Riverside County (909) 835-7279
IVAN ERIC HIRSCH
Student in an Organized Health Care Education/Training Program
3532 MONROE ST
RIVERSIDE, CA 92504
Riverside County (909) 919-5596
ERIC SALDANA MS, ATC, PTA
Student in an Organized Health Care Education/Training Program
3532 MONROE ST
RIVERSIDE, CA 92504
Riverside County (951) 687-4610
PATRICIA MARIE ROACH
Student in an Organized Health Care Education/Training Program
3532 MONROE ST
RIVERSIDE, CA 92504
Riverside County (951) 490-6873
CINDY VALERIA VALDEZ COBA
Specialist/Technologist (Athletic Trainer)
3532 MONROE ST
RIVERSIDE, CA 92504
Riverside County (877) 228-3615
RODRIGO PEREZ
Student in an Organized Health Care Education/Training Program
3532 MONROE ST
RIVERSIDE, CA 92504
Riverside County (951) 687-4610
MR. MIGUEL ANGEL PEREDIA II
Student in an Organized Health Care Education/Training Program
3532 MONROE ST
RIVERSIDE, CA 92504
Riverside County (909) 260-2522
TERYN BEAL
Student in an Organized Health Care Education/Training Program
3532 MONROE ST
RIVERSIDE, CA 92504
Riverside County (951) 751-1285

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 Radiance Jackson's NPI number?

The NPI number for Radiance Jackson is 1942705074. It was assigned to this individual provider in the NPPES registry on March 29, 2018.

Where is Radiance Jackson located?

Radiance Jackson practices at 3532 Monroe St, Riverside, CA 92504. The listed phone number is (951) 687-4610.

What is Radiance Jackson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Radiance Jackson was last updated on March 29, 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.