Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CODY RONALD JACKSON, M.D.
Active Sole ProprietorDR. CODY RONALD JACKSON, M.D. is a General Practice healthcare provider located in SAN DIEGO, California. NPI 1770715146 is currently active in the NPPES registry. Verify at CMS.
General Practice · SAN DIEGO, CA
Registration Details
- NPI Number
- 1770715146
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 18, 2009 (17.033797538995 yrs)
- Last Updated
- Jul 5, 2022
- Licenses
-
A162265 (CA)A162265 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3900 5TH AVE STE 110SAN DIEGO, CA, 921033122Browse CA providers · Browse ZIP 92103
- Phone
- 8585541212
- Fax
- 8587951195
- Primary Specialty
-
General Practice
208D00000X
- Additional Specialty
- Student (Health Education/Training)
- Additional Specialty
- General Practice
Other General Practice Providers in SAN DIEGO, CA
| Name | Credential | NPI |
|---|---|---|
| DR. RICHARD TEW | M.D. | 1679572911 |
| DR. ERIN ALINE GRIFFITH | D.O. | 1225029192 |
| DR. BRYAN MATTHEW VANDER SCHUUR | M.D. | 1801872296 |
| ALAN STEPHEN LAM | M.D. | 1548248628 |
| DR. MICHAEL VINCE | D.O. | 1740260793 |
| DR. DAVID TROWBRIDGE | M.D. | 1932170271 |
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.