MISS PORTIA MONIQUE JACKSON LVN
NPI 1619496049
Licensed Vocational Nurse in San Bernardino, CA

NPI Status: Active since September 18, 2017

Contact Information

1022 SUNBROOK DR.
SAN BERNARDINO, CA
ZIP 92407
Phone: (310) 766-1838

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  • Individual
  • Female
  • Licensed Vocational Nurse

About PORTIA JACKSON

This page provides the complete NPI Profile along with additional information for Portia Jackson, a provider established in San Bernardino, California with a medical specialization in Licensed Vocational Nurse. The healthcare provider is registered in the NPI registry with number 1619496049 assigned on September 2017. The practitioner's primary taxonomy code is 164X00000X with license number 272565 (CA). The provider is registered as an individual and her NPI record was last updated 8 years ago.

NPI
1619496049
Provider Name
MISS PORTIA MONIQUE JACKSON LVN
Gender
Female
Entity Type
Individual
Location Address
1022 SUNBROOK DR. SAN BERNARDINO, CA 92407
Location Phone
(310) 766-1838
Mailing Address
177 E. LYNWOOD DR. F206 SAN BERNARDINO, CA 92404
Is Sole Proprietor?
No
Enumeration Date
09-18-2017
Last Update Date
09-18-2017
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Licensed Vocational Nurse

Taxonomy Code
164X00000X
Type
Nursing Service Providers
License No.
272565
License State
CA
Taxonomy Description
A licensed vocational nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1619496049
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2629891208
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 2 + 9 + 8 + 9 + 1 + 2 + 0 + 8 + 24 = 71
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 71 = 99

The NPI number 1619496049 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1619496049, enumerated in the NPI registry as an "individual" on September 18, 2017

The provider is located at 1022 Sunbrook Dr. San Bernardino, Ca 92407 and the phone number is (310) 766-1838

The provider's speciality is Licensed Vocational Nurse with taxonomy code 164X00000X

This NPI record was last updated on September 18, 2017. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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