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

Dr. Peter J Jackson, MD

Individual provider Pediatric Adolescent Medicine Physician · NPI 1366536328

Dr. Peter J Jackson, MD is a Pediatric Adolescent Medicine Physician in Pasadena, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2006
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

504 S Sierra Madre Blvd
Pasadena, CA 91107-5240
Phone: (626) 795-8811
Fax: (626) 795-0935
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Adolescent Medicine Physician (primary) Taxonomy 2080A0000X · Licence G46502 (CA)

Record details

NPI number1366536328
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedOctober 3, 2006
Last updated in NPPESJuly 8, 2007
Mailing address504 S Sierra Madre Blvd, Pasadena, CA 91107-5240

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