MS. DIMITRIA ELISE JACKSON (NPI# 1679758478) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679758478 |
| Entity Type | Individual |
| Full Name | MS. DIMITRIA ELISE JACKSON |
| Practice Address |
6955 Foothill Blvd. Suite 300 Oakland CA 94605-2421 |
| Practice Telephone | 5105771906 |
| Practice Fax Number | 5105775618 |
| Mailing Telephone | 5105771906 |
| Mailing Fax Number | 5105775618 |
| Enumeration Date | 2007-12-31 |
| Last Update Date | 2007-12-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Street Address |
6955 FOOTHILL BLVD. SUITE 300 |
| City | OAKLAND |
| State | CA |
| Zip Code | 94605-2421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164606323 | Marlisa Davis | Social Worker | 6955 Foothill Blvd., Suite 300, Oakland, CA 94605-2421 | 2007-12-24 |
| 1043489859 | Alameda County Conservator's Office | Public Health or Welfare | 6955 Foothill Blvd., Suite 300, Oakland, CA 94605 | 2008-02-26 |
| 1740465897 | Kenya Warren | Social Worker | 6955 Foothill Blvd., Suite 300, Oakland, CA 94605-2421 | 2008-01-08 |
| 1528243326 | Carla Jean Rogers | Social Worker | 6955 Foothill Blvd., Suite 300, Oakland, CA 94605-2421 | 2007-12-31 |
| 1073798872 | Harry George Gin | Social Worker | 6955 Foothill Blvd., Suite 300, Oakland, CA 94605-2421 | 2007-12-31 |
| 1245415041 | Mary Joveta Fierro | Social Worker | 6955 Foothill Blvd., Suite 300, Oakland, CA 94605-2421 | 2007-12-31 |
| 1790969954 | Winne Lau | Social Worker | 6955 Foothill Blvd., Suite 300, Oakland, CA 94605-2421 | 2007-12-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275181190 | Sarah Primack | Counselor | Castlemont High School, 8601 Macarthur Blvd, Oakland, CA 94605 | 2019-09-04 |
| 1285296475 | Veronica Aguila | Behavior Technician | 2949 Parker Ave, Oakland, CA 94605 | 2019-07-08 |
| 1508321886 | Terra Brown Brown | Counselor | One Eastmont Mall Town Center, 7200 Bancroft Avenue Building B. Suite 133, Oakland, CA 94605 | 2019-01-31 |
| 1619447455 | Elizabeth Niarhos | Counselor | 10850 Macarthur Blvd., Oakland, CA 94605 | 2018-12-04 |
| 1467930966 | Claudia Sanchez | Student in an Organized Health Care Education/Training Program | 7200 Bancroft Avenue, Suite 125d, Oakland, CA 94605 | 2018-08-06 |
| 1447768866 | The Alliance for Community Wellness | Community/Behavioral Health | 2369 84th Ave., Oakland, CA 94605 | 2018-01-19 |
| 1497204010 | Nekeisha Maxie | Specialist | 7200 Bancroft Ave. Bldg. B Suite 133, Oakland, CA 94605 | 2016-09-23 |
| 1073997110 | Sandra Lenoski | Social Worker | 7200 Bancroft Avenue, Building B, Suite 133, Oakland, CA 94605 | 2015-07-18 |
| 1366831414 | Wing Kit Leung | Physical Therapy Assistant | 2445 64th Ave, Oakland, CA 94605 | 2015-01-13 |
| 1558647735 | Jessica Welsh | Counselor | 8759 Mountain Blvd. Bldg. 69, Oakland, CA 94605 | 2011-11-01 |
| Find all providers in zip 94605 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710535505 | Lucille Arsua Lawrence | Specialist | 3014 Macarthur Blvd, Oakland, CA 94602-3212 | 2019-08-26 |
| 1598317554 | Julie Anne Gross | Specialist | 4131 1/2 Piedmont Ave, Oakland, CA 94611-5109 | 2019-07-10 |
| 1508394461 | Corrin Hill | Specialist | 3510 Grand Ave, Oakland, CA 94610-2010 | 2017-05-23 |
| 1679006993 | Gay Searcy | Specialist | 120 Capricorn Ave, Oakland, CA 94611-1943 | 2017-04-04 |
| 1770025330 | Elise Simone Francis | Specialist | 1927 Durant Ave, Oakland, CA 94603-3939 | 2016-11-14 |
| 1629529243 | Flor Baldovinos | Specialist | 7200 Bancroft Ave # Sit267, Oakland, CA 94605-2403 | 2016-10-19 |
| 1497204010 | Nekeisha Maxie | Specialist | 7200 Bancroft Ave. Bldg. B Suite 133, Oakland, CA 94605 | 2016-09-23 |
| 1922450881 | Charles B Kennell | Specialist | 6301 Girvin Dr, Oakland, CA 94611-2457 | 2016-07-04 |
| 1588036875 | Claritza Marisol Gomez | Specialist | 3301 E. 12th Street, Suite 259, Oakland, CA 94601-2940 | 2015-10-26 |
| 1366826349 | Wayne C Chan,md,inc | Specialist | 620 Hiller Dr, Oakland, CA 94618-2353 | 2015-07-20 |
| Find all providers in OAKLAND | ||||
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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.