JACKSON KHAM (NPI# 1295348951) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295348951 |
| Entity Type | Individual |
| Full Name | JACKSON KHAM |
| Practice Address |
1105 N El Dorado St Stockton CA 95202-1305 |
| Practice Telephone | 2099380228 |
| Practice Fax Number | 2099380281 |
| Mailing Telephone | 2099380228 |
| Mailing Fax Number | 2099380281 |
| Enumeration Date | 2020-08-24 |
| Last Update Date | 2020-08-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247200000X | Technician, Other | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
1105 N EL DORADO ST |
| City | STOCKTON |
| State | CA |
| Zip Code | 95202-1305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760049043 | Jay Frank Williams | Counselor | 1105 N El Dorado St, Stockton, CA 95202-1305 | 2019-05-22 |
| 1609489731 | Laci Esclovon | Technician, Other | 1105 N El Dorado St, Stockton, CA 95202-1305 | 2020-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336774678 | Lecletus Griffin Jr. | Counselor | 1212 N. Califronia Street, Stockton, CA 95202 | 2020-03-06 |
| 1861035586 | Andrea Mn Perkins | Social Worker | Sjc Bhs Bacop, 1149 El Dorado Street, Stockton, CA 95202 | 2019-10-25 |
| 1932664620 | San Joaquin County Behavioral Health Services | Community/Behavioral Health | 1212 N. Califorian St, Stockton, CA 95202 | 2019-02-06 |
| 1730655895 | Jenaiah La'neise Sauceda | Social Worker | 343 E Main St Ste 918, Stockton, CA 95202 | 2018-10-16 |
| 1235631722 | Parker Yang | Counselor | 1111 N. El Dorado St, Stockton, CA 95202 | 2018-03-01 |
| 1912406976 | Janet Mendoza | Social Worker | 6 South Eldorado Street, Stockton, CA 95202 | 2018-02-06 |
| 1487162087 | Linda Soun | Counselor | 1111 N. El Dorado Street, Stockton, CA 95202 | 2018-01-17 |
| 1124545355 | Suleyma Velesquez | Counselor | 445 N. San Joaquin St., Stockton, CA 95202 | 2017-08-28 |
| 1821513946 | Savoeun Phal | Counselor | 1212 N California St Ste A214, Stockton, CA 95202 | 2017-08-09 |
| 1861921272 | Mandeep K Minhas | Registered Nurse | 1212 California St, Stockton, CA 95202 | 2017-06-08 |
| Find all providers in zip 95202 | ||||
| Taxonomy Code | 247200000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Other |
| A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user. |
| Notes: Sources: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988; Dorland’s Illustrated Medical Dictionary, 26th Edition. Philadelphia: W.B. Saunders Company, 1981; and Webster’s II New Riverside University Dictionary. Boston: Riverside Publishing Company, 1984. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275159543 | Silvia Albizures | Technician, Other | 2291 W March Ln # B103, Stockton, CA 95207-6652 | 2020-06-22 |
| 1497378210 | Jazmine Michelle Cooper | Technician, Other | 2291 W March Ln Ste B, Stockton, CA 95207-6652 | 2020-05-27 |
| 1306484324 | Alma Monge | Technician, Other | 2291 W March Ln Ste B103, Stockton, CA 95207-6652 | 2019-12-20 |
| 1881237816 | Emerico Flores | Technician, Other | 3927 Oak Shores Dr, Stockton, CA 95209-3765 | 2019-10-22 |
| 1689230005 | Fizza Syeda Hasani | Technician, Other | 2291 W March Ln # 101, Stockton, CA 95207-6652 | 2019-05-10 |
| 1730742180 | Jessica Reyes | Technician, Other | 5641 Saint Andrews Dr, Stockton, CA 95219-1928 | 2019-04-20 |
| 1215484449 | Veronkia Williams | Technician, Other | 411 S Stanislaus St, J205, Stockton, CA 95203-3600 | 2016-09-06 |
| 1346622305 | Jose C. Mayorga | Technician, Other | 2062 E Sonora St, Stockton, CA 95205-6323 | 2015-06-25 |
| 1083028179 | Krystin Ann Marquz | Technician, Other | 3469 W Benjamin Holt Dr Apt 474, Stockton, CA 95219-3539 | 2014-06-17 |
| 1174871594 | Melinda Marquez Neal | Technician, Other | 8219 Shay Cir, Stockton, CA 95212-3495 | 2012-08-15 |
| Find all providers in STOCKTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.