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

Dr. Cody Ronald Jackson, MD

Individual provider Occupational Medicine Physician · NPI 1770715146

Dr. Cody Ronald Jackson, MD is a Preventive Medicine in San Diego, California. Graduated from Uniformed Services Uhs Fe Hebert School of Med in 2009, 17 years ago. Practices with Monica Perlman MD Inc, a 352-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
17
Trained at
Uniformed Services Uhs Fe Hebert School of Med
Licensed in
CA
In the registry since
2009
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3900 5th Ave Ste 110
San Diego, CA 92103-3122
Phone: (858) 554-1212
Fax: (858) 795-1195
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence A162265 (CA)
Occupational Medicine Physician Taxonomy 2083X0100X · Licence A162265 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1770715146
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 18, 2009
Last updated in NPPESJuly 5, 2022
Certification dateJuly 5, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPREVENTIVE MEDICINE
Medical schoolUNIFORMED SERVICES UHS FE HEBERT SCHOOL OF MED
Graduated 2009 (17 years in practice)
Group practice Monica Perlman Md Inc — 352 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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