MEDICARE: JALIL DAKISSAGA RN, BSN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	95033164	CA
2	163WP0808X	Psychiatric/Mental Health Registered Nurse	95177720	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1639432768
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JALIL DAKISSAGA RN, BSN

Provider Business Mailing Address
First Line	:	5996 UNIVERSITY AVE
Second Line	:	SUITE F-1
City	:	SAN DIEGO
State	:	CA
Zip	:	92105
Country	:	US
Telephone Number	:	844-200-2426
Fax Number	:

Provider Business Practice Location Address
First Line	:	5996 UNIVERSITY AVE
Second Line	:	SUITE F-1
City	:	SAN DIEGO
State	:	CA
Zip	:	92110-3115
Country	:	US
Telephone Number	:	844-200-2426
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/22/2012
Last Update Date	:	06/17/2026

Similar Medicare Providers

1336369917 — DEDRA A HUNTER
Practice Location Address:

3853 ROSECRANS ST
SAN DIEGO, CA
92110-3115

Practice Phone: 619-692-8225
Practice Fax:

1639170053 — STEPHANIE PECK-WHEELER PHARM.D.
Practice Location Address:

3851 ROSECRANS ST , MS P-507-J
SAN DIEGO, CA
92110-3115

Practice Phone: 619-692-8037
Practice Fax: 619-692-6696

1568455129 — DR. CHAMROEUN B KIM PHARM.D.
Practice Location Address:

3851 ROSECRANS ST
SAN DIEGO, CA
92110-3115

Practice Phone: 619-692-8036
Practice Fax: 619-692-8030

1063405694 — MS. HANH HOANG BACH PHARMD
Practice Location Address:

3851 ROSECRANS ST
SAN DIEGO, CA
92110-3115

Practice Phone: 619-692-8035
Practice Fax:

1245251297 — COUNTY OF SAN DIEGO
Practice Location Address:

3851 ROSECRANS ST
SAN DIEGO, CA
92110-3115

Practice Phone: 619-692-5741
Practice Fax: 619-692-8034

1134141583 — DR. KENNETH ANDREW KATZ MD, MSC, MSCE
Practice Location Address:

3851 ROSECRANS ST STE 207 , COUNTY OF SAN DIEGO, HHSA/HSHB
SAN DIEGO, CA
92110-3115

Practice Phone: 619-692-8394
Practice Fax: 619-296-2688

Directions to “ JALIL DAKISSAGA RN, BSN” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.