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

Individual provider Anatomic Pathology & Clinical Pathology Physician · NPI 1699153130

Dr. Ryan Patrick Jackson, MD, PHD, MENG is a Pathology in Duarte, California. Qualified in 2015, 11 years ago. Practices with City of Hope Medical Foundation, a 959-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
11
Licensed in
CA
In the registry since
2015
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

1500 Duarte Rd
Duarte, CA 91010-3012
Phone: (626) 256-4673
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hematology (Pathology) Physician (primary) Taxonomy 207ZH0000X · Licence A150177 (CA)
Anatomic Pathology & Clinical Pathology Physician Taxonomy 207ZP0102X · Licence A150177 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1699153130
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , PHD , MENG
Sole proprietorNo
NPI enumeratedMay 18, 2015
Last updated in NPPESMay 7, 2021
Certification dateMay 7, 2021
Mailing addressPo Box 512185, Los Angeles, CA 90051-0185

Medicare enrollment

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

Medicare specialtyPATHOLOGY
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice City Of Hope Medical Foundation — 959 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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