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

Individual provider Sports Medicine (Orthopaedic Surgery) Physician · NPI 1619060134

Dr. James M Jackson, MD is a Sports Medicine (Orthopaedic Surgery) Physician in San Diego, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
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

9246 Lightwave Ave Ste 120
San Diego, CA 92123-6411
Phone: (800) 270-5016
Fax: (800) 680-3626
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Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence G74843 (CA)
Sports Medicine (Orthopaedic Surgery) Physician Taxonomy 207XX0005X · Licence G74843 (CA)
Adult Reconstructive Orthopaedic Surgery Physician Taxonomy 207XS0114X · Licence G74843 (CA)

Record details

NPI number1619060134
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 2, 2006
Last updated in NPPESApril 15, 2026
Certification dateApril 15, 2026

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