Keith a Jackson MD Limited

Primary specialty

SpecialistTaxonomy code 174400000X

License

G58187 Issued in CA

Legal business name

KEITH A JACKSON MD LIMITED

Practice address

8010 Frost St
503
San Diego, CA 92123-2778

Phone

(858) 279-4221

Fax

(858) 279-4223

NPI assigned

Feb 25, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Lisa Marie Baker

Title

Office Manager

Phone

(858) 279-4221

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Annette Lualhati, AUD

  • Audiologist
  • San Diego, CA
  • NPI 1932258316
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1203897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203897600000",
    "number": "1487823324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8010 FROST ST",
            "address_2": "503",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921232778",
            "telephone_number": "858-279-4221",
            "fax_number": "858-279-4223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8010 FROST ST",
            "address_2": "503",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921232778",
            "telephone_number": "858-279-4221",
            "fax_number": "858-279-4223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEITH A JACKSON MD LIMITED",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-25",
        "last_updated": "2008-02-25",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "858-279-4221",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G58187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ayelet Keinan, PT
• Timothy Keiper, PHD
• Kerry Lynn Keiser, D.C.
• Erin M Keitel, DC
• Raymond Keitel
• Keith D. Vrhel MD Inc.
• Keith M. Hourihan Chiropractic, Inc.
• Keith Mahler Physical Therapist & Associates
• Emma Keith-Brown
• Andrew Jacob Keith, DDS

• Specialist in San Diego, CA
• Providers in San Diego, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.