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

Trent Lamarr Jackson

Individual provider Private Vehicle · NPI 1497225197

Trent Lamarr Jackson is a Private Vehicle in West Hills, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2018

Practice location Address checks out

22756 Haynes St
West Hills, CA 91307-3606
Phone: (818) 517-2364
Show map & directions

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

Specialties & licences

Private Vehicle (primary) Taxonomy 347C00000X · Licence A1243646 (CA)

Record details

NPI number1497225197
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 26, 2018
Last updated in NPPESNovember 26, 2018