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

Jerald Deshawn Waters

Individual provider Community Health Worker · NPI 1316732894

Jerald Deshawn Waters is a Community Health Worker in Vallejo, California. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

1840 Capitol St
Vallejo, CA 94590-5721
Phone: (310) 465-7667
Show map & directions

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

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X

Record details

NPI number1316732894
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 14, 2025
Last updated in NPPESApril 14, 2025
Certification dateApril 14, 2025
Mailing address1840 Capitol St, Vallejo, CA 94590-5721

Other providers in Vallejo