Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. PETER J JACKSON, M.D.
Active Sole ProprietorDR. PETER J JACKSON, M.D. is a Adolescent Medicine (Pediatrics) healthcare provider located in PASADENA, California. NPI 1366536328 is currently active in the NPPES registry. Verify at CMS.
Adolescent Medicine (Pediatrics) · PASADENA, CA
Registration Details
- NPI Number
- 1366536328
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 3, 2006 (19.902787432448 yrs)
- Last Updated
- Jul 8, 2007
- License
-
G46502 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
504 S SIERRA MADRE BLVDPASADENA, CA, 911075240Browse CA providers · Browse ZIP 91107
- Phone
- 6267958811
- Fax
- 6267950935
- Primary Specialty
-
Adolescent Medicine (Pediatrics)
2080A0000X
Other Adolescent Medicine (Pediatrics) Providers in PASADENA, CA
| Name | Credential | NPI |
|---|---|---|
| DR. JAMES M. DUVALL | M.D. | 1033203104 |
| JOHANNA LYNN OLSON-KENNEDY | MD | 1396831665 |
| N OLATUNJI OLAMBIWONNU | M.D. | 1568551752 |
| DR. DANIEL N SCAFF | M.D. | 1598855413 |
| JONATHAN DANIEL WARUS | MD | 1801153010 |
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.