Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KEITH A JACKSON, MD
Active Sole ProprietorOtolaryngology · SAN DIEGO, CA
Registration Details
- NPI Number
- 1124091970
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 10, 2006 (20.195949895072 yrs)
- Last Updated
- Jan 25, 2024
- Licenses
-
G58187 (CA)8547 (NV)8547 (NV)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5405 OBERLIN DR FL 2SAN DIEGO, CA, 921211700Browse CA providers · Browse ZIP 92121
- Phone
- 8589090770
- Fax
- 8589090880
- Primary Specialty
-
Otolaryngology
207Y00000X
- Additional Specialty
- Otolaryngic Allergy
- Additional Specialty
- Otolaryngology
Other Otolaryngology Providers in SAN DIEGO, CA
| Name | Credential | NPI |
|---|---|---|
| DR. THEODORE M. MAZER | M.D. | 1598768327 |
| JAMES ESTES BUSH | MD | 1932108867 |
| DR. KEVIN THOMAS BRUMUND | MD | 1033193669 |
| MICHAEL RAY HOLTEL | M.D. | 1073584397 |
| DR. QUYEN T. NGUYEN | M.D. | 1477524452 |
| DR. ALEXANDER STEWART | MD | 1093788226 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.