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

Phillip Jackson

Individual provider Community Health Worker · NPI 1770933855

Phillip Jackson is a Community Health Worker in San Francisco, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2016
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Practice location Address checks out

1801 Vicente St
San Francisco, CA 94116-2923
Phone: (415) 681-3211
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X · Licence 172V00000X (CA)

Record details

NPI number1770933855
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 20, 2016
Last updated in NPPESJune 20, 2016

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