DOLORES JACKSON NPI 1366750242

NPI Information

  • NPI: 1366750242
  • Provider Name: DOLORES JACKSON
  • Classification: Home Health Aide - 374U00000X
  • Entity Type: Individual
  • Address: 1445 E. TAM O'SHANTER STREET
    ONTARIO, CA
    ZIP 91761
  • Phone: (951) 205-2789

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NPI Details

Dolores Jackson is a home health aide in Ontario, CA. The provider is a person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes. Dolores Jackson NPI is 1366750242. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1445 E. TAM O'SHANTER STREET
ONTARIO, CA
ZIP 91761-117
Phone: (951) 205-2789
Fax: (909) 673-0409

The enumeration date for this NPI number is 9/14/2010 and was last updated on 9/14/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1253Z00000XIn Home Supportive Care77534CALIFORNIANo
2374U00000XHome Health Aide77534CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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