Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DEZHON JACKSON
Deactivated Sole ProprietorDEZHON JACKSON is a Day Training/Habilitation healthcare provider located in CITRUS HEIGHTS, California. NPI 1053105676 is deactivated in the NPPES registry. Verify at CMS.
Day Training/Habilitation · CITRUS HEIGHTS, CA
This NPI has been deactivated.
The record was deactivated on September 1, 2025.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1053105676
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 8, 2025 (0.4 yrs)
- Last Updated
- Oct 27, 2025
- Deactivated
- Sep 1, 2025
- Sole Proprietor
- Yes
Practice Information
- Address
-
7309 BAYOAK WAYCITRUS HEIGHTS, CA, 956211305Browse CA providers · Browse ZIP 95621
- Phone
- 9166427800
- Primary Specialty
-
Day Training/Habilitation
373H00000X
Other Day Training/Habilitation Providers in CITRUS HEIGHTS, CA
| Name | Credential | NPI |
|---|---|---|
| ALEXIS R TAIVITI | — | 1558914028 |
| JOE ANN HAMPTON-JARVIS | — | 1356239602 |
| MR. JACQUIS LAMONT TRODDER | — | 1538057914 |
| DIAMOND BRADLEY | — | 1669360970 |
| ANGELIQUE ELAINE MARTIN | — | 1053299883 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.