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Angelique Allyssa Jackson

Peer Specialist in Oceanside, CA. Individual provider (NPI-1).

NPI number1104577147
StatusActive
Last updated in NPPESJan 11, 2022

Details

NPI
1104577147
Entity type
Individual (NPI-1)
Name
Angelique Allyssa Jackson
Sex
Female
Sole proprietor
No
Enumeration date
Jan 11, 2022
Certification date
Jan 11, 2022
Last updated
Jan 11, 2022

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
175T00000X Peer Specialist––Yes

Other names

  • Angelique Allyssa Hays (Former Name)

Practice location

2122 S El Camino Real Ste 201
Oceanside, CA 92054-6210

Phone 760-290-8170 · Fax 760-439-0019

Mailing address

2122 S El Camino Real Ste 201
Oceanside, CA 92054-6210

Phone 760-290-8170 · Fax 760-439-0019

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Peer Specialist providers in Oceanside, CA

All 31 Peer Specialist providers in Oceanside · All 4,206 providers in Oceanside

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