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

Dr. Lenley Bradford Jackson, MD

Individual provider Emergency Medicine Physician · NPI 1568555845

Dr. Lenley Bradford Jackson, MD is an Emergency Medicine in Stockton, California. Graduated from University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb) in 1999, 27 years ago. Practices with Sutter Valley Medical Foundation, a 2,464-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in California and Hawaii.

Years since qualifying
27
Trained at
University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb)
Licensed in
CA, HI
In the registry since
2006
Specialties on file
2
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

2505 W Hammer Ln
Stockton, CA 95209-2839
Phone: (209) 954-4040
Fax: (209) 951-2239
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 520 Illinois St, San Francisco, CA 94143-2501 — (415) 353-9188
  • 3100 W Christoffersen Pkwy, Turlock, CA 95382-9547 — (209) 632-3909
  • 347 N Kuakini St, Honolulu, HI 96817-2306 — (808) 536-2236
  • 86-260 Farrington Hwy, Waianae, HI 96792-3128 — (808) 697-3300

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence A87877 (CA)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 15431 (HI)

Record details

NPI number1568555845
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 1, 2006
Last updated in NPPESJanuary 12, 2026
Certification dateJanuary 12, 2026

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolUNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated 1999 (27 years in practice)
Group practice Sutter Valley Medical Foundation — 2464 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Stockton