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

Dr. Tyler Pembroke Jackson, MD

Individual provider Emergency Medicine Physician · NPI 1295355816

Dr. Tyler Pembroke Jackson, MD is an Emergency Medicine in Santa Monica, California. Graduated from University of Utah School of Medicine in 2020, 6 years ago. Practices with Regents of the University of California, a 68-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
6
Trained at
University of Utah School of Medicine
Licensed in
CA
In the registry since
2020
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

1250 16th St Ste 2100
Santa Monica, CA 90404-1249
Phone: (424) 259-6593
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1625 N Campbell Ave, Tucson, AZ 85719-4330 — (520) 626-7233
  • 535 E 70th St, New York, NY 10021-4823 — (212) 606-1000

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence A196288 (CA)

Record details

NPI number1295355816
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 23, 2020
Last updated in NPPESFebruary 2, 2026
Certification dateFebruary 2, 2026

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Also practisesSPORTS MEDICINE
Medical schoolUNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice Regents Of The University Of California — 68 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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