Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Jacquese M Burgess

Individual provider Community Health Worker · NPI 1104665124

Jacquese M Burgess is a Community Health Worker in Oakland, California. Licensed in California. Registered with an NPI since 2024.

Licensed in
CA
In the registry since
2024
Specialties on file
2

Practice location Address checks out

390 40th St
Oakland, CA 94609-2633
Phone: (510) 899-0128
Fax: (510) 569-4589
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Day Training/Habilitation Specialist (primary) Taxonomy 373H00000X (CA)
Community Health Worker Taxonomy 172V00000X (CA)

Record details

NPI number1104665124
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 20, 2024
Last updated in NPPESSeptember 8, 2026
Certification dateSeptember 8, 2026

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