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

Individual provider Psychiatry Physician · NPI 1467522813

Jack Everett Downhill Jr., MD is a Psychiatry in San Pedro, California. Qualified in 1986, 40 years ago. Works from 3 locations and accepts Medicare assignment. Licensed in California, New York and Oregon.

Years since qualifying
40
Licensed in
CA, NY, OR
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

3031 S Denison Ave
San Pedro, CA 90731-6703
Phone: (323) 379-3611
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • Nsuh-Dept Of Psychiatry, Manhasset, NY 11030 — (516) 562-3051
  • 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 — (503) 494-6176

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence A50066 (CA)
Psychiatry Physician Taxonomy 2084P0800X · Licence MD180816 (OR)
Psychiatry Physician Taxonomy 2084P0800X · Licence 198053 (NY)

Record details

NPI number1467522813
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 9, 2006
Last updated in NPPESSeptember 8, 2020
Certification dateSeptember 8, 2020
Mailing address3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 1986 (40 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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