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

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