Keith A Jackson, MD
Otolaryngology in San Diego, CA. Individual provider (NPI-1).
NPI number1124091970
StatusActive
Last updated in NPPESJan 25, 2024
Details
- NPI
- 1124091970
- Entity type
- Individual (NPI-1)
- Name
- Keith A Jackson
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 10, 2006
- Certification date
- Jan 22, 2024
- Last updated
- Jan 25, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Y00000X | Otolaryngology | 8547 | NV | Yes |
| 207Y00000X | Otolaryngology | G58187 | CA | |
| 207YX0901X | Otolaryngology, Otology & Neurotology | 8547 | NV |
Practice location
5405 Oberlin Dr Fl 2San Diego, CA 92121-1700
Phone 858-909-0770 · Fax 858-909-0880
Mailing address
Po Box 500877San Diego, CA 92150-0877
Phone 858-279-4221 · Fax 858-279-4223
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 Otolaryngology Physician providers in San Diego, CA
- Thomas Hanson Alexander, M.D.NPI 1275696080
- Art Anthony Ambrosio, MD, MBANPI 1205064805
- Thomas Luke Arnell, MDNPI 1649807397
- Michelle Gloria Arnold, M.D.NPI 1417921891
- Anna K Bareiss, MDNPI 1508398629
- Ronald T. Benz, M.D.NPI 1043328503
- Benjamin Jonah Bernard, MDNPI 1518580372
- Andrew D. Beros, M.D.NPI 1104889054
- Jo-Lawrence Martinez Bigcas, M.D.NPI 1104171503
- Priyanka BisaryaNPI 1447900287
All 92 Otolaryngology Physician providers in San Diego · All 61,118 providers in San Diego
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.