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

Keith a Jackson MD Limited

Organization Specialist · NPI 1487823324

Keith a Jackson MD Limited is a Specialist in San Diego, California. Licensed in California. Registered with an NPI since 2008.

Licensed in
CA
In the registry since
2008

Practice location Address checks out

8010 Frost St 503
San Diego, CA 92123-2778
Phone: (858) 279-4221
Fax: (858) 279-4223
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence G58187 (CA)

Record details

NPI number1487823324
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lisa Baker — Office Manager · (858) 279-4221
NPI enumeratedFebruary 25, 2008
Last updated in NPPESFebruary 25, 2008
Mailing address8010 Frost St, 503, San Diego, CA 92123-2778

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