Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Keith A Jackson, MD

Individual provider Otolaryngology Physician · NPI 1124091970

Keith A Jackson, MD is an Otolaryngology Physician in San Diego, California. Practices as a sole proprietor. Licensed in California and Nevada.

Licensed in
CA, NV
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

5405 Oberlin Dr Fl 2
San Diego, CA 92121-1700
Phone: (858) 909-0770
Fax: (858) 909-0880
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence 8547 (NV)
Otolaryngology Physician Taxonomy 207Y00000X · Licence G58187 (CA)
Otology & Neurotology Physician Taxonomy 207YX0901X · Licence 8547 (NV)

Record details

NPI number1124091970
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedFebruary 10, 2006
Last updated in NPPESJanuary 25, 2024
Certification dateJanuary 22, 2024

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients82
Services billed 199 a service is one billed item, such as a visit, a test or a procedure
Average patient age76

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

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