Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jamal Tyrone Ledet-Travis

Individual provider Community Health Worker · NPI 1194288118

Jamal Tyrone Ledet-Travis is a Community Health Worker in San Diego, California. Practices as a sole proprietor and works from 2 locations. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
2

Practice location Address checks out

1011 Camino Del Rio S
San Diego, CA 92108-3531
Phone: (619) 287-8225
Show map & directions

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

Additional practice locations (1)

  • 10201 Mission Gorge Rd, Santee, CA 92071-3027 — (619) 383-6868

Specialties & licences

Rehabilitation Practitioner (primary) Taxonomy 225400000X
Community Health Worker Taxonomy 172V00000X

Record details

NPI number1194288118
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 8, 2019
Last updated in NPPESMarch 27, 2025
Certification dateMarch 27, 2025

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