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

Dr. Cole Jackson Houston, MD

Individual provider Family Medicine Physician · NPI 1396036463

Dr. Cole Jackson Houston, MD is a Family Practice in San Diego, California. Qualified in 2010, 16 years ago. Practices with Cep America - California, a 1,267-clinician group and accepts Medicare assignment. Licensed in California and Tennessee.

Years since qualifying
16
Licensed in
CA, TN
In the registry since
2011
Specialties on file
4
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

4033 3rd Ave Ste 400
San Diego, CA 92103-2140
Phone: (888) 883-8658
Fax: (888) 606-1317
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 148047 (CA)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 51823 (TN)
Family Medicine Physician Taxonomy 207Q00000X · Licence 51823 (TN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (TN)

Record details

NPI number1396036463
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 25, 2011
Last updated in NPPESJuly 2, 2020
Certification dateJuly 2, 2020

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Also practisesEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Cep America - California — 1267 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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