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

Individual provider Diagnostic Radiology Physician · NPI 1003055401

Jackson W Penry, MD is a Diagnostic Radiology in Mission Viejo, California. Graduated from Ohio State University College of Medicine in 2006, 20 years ago. Practices with Fresno Imaging Center, a 126-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
20
Trained at
Ohio State University College of Medicine
Licensed in
CA
In the registry since
2009
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

27700 Medical Center Road-Radiology Dept
Mission Viejo, CA 92691-6426
Phone: (949) 364-7744
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence A114302 (CA)

Record details

NPI number1003055401
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 10, 2009
Last updated in NPPESJuly 29, 2014

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated 2006 (20 years in practice)
Group practice Fresno Imaging Center — 126 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations16 on file with Medicare

Other providers in Mission Viejo