Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. DARVALE LAVON JACKSON
ActiveCommunity Health Worker · OAKLAND, CA
Registration Details
- NPI Number
- 1982722419
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 26, 2007 (19.074156472775 yrs)
- Last Updated
- Nov 9, 2023
Practice Information
- Address
-
3695 HIGH STOAKLAND, CA, 946192105Browse CA providers · Browse ZIP 94619
- Phone
- 5104347990
- Fax
- 5104347991
- Primary Specialty
-
Community Health Worker
172V00000X
Other Community Health Worker Providers in OAKLAND, CA
| Name | Credential | NPI |
|---|---|---|
| JOSEPH WHITCOMB | — | 1457425712 |
| PHOMMASONE PAM GRIFFITH | — | 1205961679 |
| COURTNEY JOHNSON | — | 1518169267 |
| PATRICIA SISSON | — | 1033392030 |
| CYNTHIA VICTORIA GOMEZ | OTR/L | 1790960573 |
| JOHNNY C BROWN | — | 1467637454 |
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.