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

Roy Harper Jackson, MD

Individual provider Internal Medicine Physician · NPI 1669424982

Roy Harper Jackson, MD is an Internal Medicine in Pasadena, California. Graduated from University of Southern California Keck School of Medicine in 1974, 52 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
52
Trained at
University of Southern California Keck School of Medicine
Licensed in
CA
In the registry since
2006
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

65 N Madison Ave Ste 709
Pasadena, CA 91101-2046
Phone: (626) 792-4185
Fax: (626) 792-7358
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence G30184 (CA)

Record details

NPI number1669424982
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 16, 2006
Last updated in NPPESApril 21, 2021
Certification dateApril 21, 2021
Mailing address65 N Madison Ave Ste 709, Pasadena, CA 91101-2046

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolUNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduated 1974 (52 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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