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

Tyler Jackson

Individual provider Vascular & Interventional Radiology Physician · NPI 1306342084

Tyler Jackson is a Diagnostic Radiology in Seattle, Washington. Graduated from University of Tennessee, Hsc, College of Medicine in 2018, 8 years ago. Practices with Palm Desert Radiology Medical Group Inc, a 122-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
8
Trained at
University of Tennessee, Hsc, College of Medicine
Licensed in
CA
In the registry since
2018
Specialties on file
3
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Practice location Address checks out

1959 NE Pacific St
Seattle, WA 98195-0001
Phone: (206) 598-3300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 39000 Bob Hope Dr, Rancho Mirage, CA 92270-3221 — (760) 674-3850

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence A195992 (CA)
Vascular & Interventional Radiology Physician Taxonomy 2085R0204X · Licence A195992 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1306342084
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 2, 2018
Last updated in NPPESApril 3, 2025
Certification dateApril 3, 2025
Mailing address1959 Ne Pacific St, Seattle, WA 98195-0001

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolUNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice Palm Desert Radiology Medical Group Inc — 122 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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