Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Blaine K. Jackson, MD, Inc

Organization Internal Medicine Physician · NPI 1578719373

Blaine K. Jackson, MD, Inc is an Internal Medicine Physician in Solana Beach, California. Licensed in California. Registered with an NPI since 2008.

Licensed in
CA
In the registry since
2008
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

530 Lomas Santa Fe Dr Ste M
Solana Beach, CA 92075-1349
Phone: (858) 259-9708
Fax: (858) 259-9689
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence A67288 (CA)

Record details

NPI number1578719373
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Blaine Jackson — Owner · (858) 259-9708
NPI enumeratedAugust 12, 2008
Last updated in NPPESAugust 12, 2008
Mailing address530 Lomas Santa Fe Dr, Suite M, Solana Beach, CA 92075-1349

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