Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KIMBERLY JACKSON
ActiveKIMBERLY JACKSON is a Community Health Worker healthcare provider located in CULVER CITY, California. NPI 1790508182 is currently active in the NPPES registry. Verify at CMS.
Community Health Worker · CULVER CITY, CA
Registration Details
- NPI Number
- 1790508182
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 4, 2024 (1.7814942766848 yrs)
- Last Updated
- Sep 16, 2025
Practice Information
- Address
-
6666 GREEN VALLEY CIRCULVER CITY, CA, 902307068Browse CA providers · Browse ZIP 90230
- Phone
- 3103058878
- Primary Specialty
-
Community Health Worker
172V00000X
- Additional Specialty
- Community Health Worker
Other Community Health Worker Providers in CULVER CITY, CA
| Name | Credential | NPI |
|---|---|---|
| TERRIE ADDISON | — | 1003936329 |
| GREGORY BARNETT | — | 1487848297 |
| SANDRI KRAMER | — | 1699962795 |
| MRS. MONICA LEMOR | — | 1467637520 |
| MS. MEREDITH LEIGH HINES | RYT | 1578731444 |
| MARY NELL GAYMAN | — | 1043487903 |
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.