Organization Active NPI

Roy Harper Jackson M D Inc

Doing business as Health Care Institute Medical Group

  • Internal Medicine Physician
  • Pasadena, CA
National Provider Identifier
1659452092
Registry record updated Nov 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G30184 Issued in CA
Legal business name
ROY HARPER JACKSON M D INC
Doing business as
Health Care Institute Medical Group
Practice address
65 N Madison Ave Ste 709
Pasadena, CA 91101-2046
Phone
(626) 792-4185
Fax
(626) 792-7358
NPI assigned
Oct 18, 2006
Last updated
Nov 24, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2025

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

Authorized official

Name
Dr. Roy Harper Jackson, M.D.NPI 1669424982
Title
President Ceo
Phone
(626) 792-4185

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G30184 CA Primary

Addresses

Primary practice location

65 N Madison Ave Ste 709
Pasadena, CA 91101-2046

Mailing address

65 N Madison Ave Ste 709
Pasadena, CA 91101-2046
Phone (626) 792-4185

Other identifiers 1

IdentifierTypeStateIssuer
GR0066950MedicaidCA

Other names 1

  • HEALTH CARE INSTITUTE MEDICAL GROUP Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050614001474 CA Part B Supplier - Clinic/Group Practice 1456395052 Receives reassigned benefits from 1 practitioner
Practice locations: Pasadena, CA

National Provider Directory

National Provider Directory

Locations

65 N Madison Ave
Ste 200
Pasadena, CA 91101
Phone (626) 792-4185

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763942400000",
    "number": "1659452092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 N MADISON AVE STE 709",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911012046",
            "telephone_number": "626-792-4185",
            "fax_number": "626-792-7358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 N MADISON AVE STE 709",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911012046",
            "telephone_number": "626-792-4185",
            "fax_number": "626-792-7358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROY HARPER JACKSON M D INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "ROY",
        "authorized_official_middle_name": "HARPER",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "626-792-4185",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G30184",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0066950",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HEALTH CARE INSTITUTE MEDICAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HEALTH CARE INSTITUTE MEDICAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.