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

Individual provider Pediatrics Physician · NPI 1053402958

Xochitl L Jackson, MD is a Pediatrics Physician in Los Angeles, California. Works from 2 locations. Licensed in California and Texas.

Licensed in
CA, TX
In the registry since
2006
Specialties on file
2
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

1530 S Olive St
Los Angeles, CA 90015-3023
Phone: (213) 747-5542
Fax: (213) 342-3413
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1300 W Lancaster Ave Ste 205, Fort Worth, TX 76102-3490 — (817) 336-8611

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence A90947 (CA)
Pediatrics Physician Taxonomy 208000000X · Licence R4565 (TX)

Record details

NPI number1053402958
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 27, 2006
Last updated in NPPESApril 21, 2025
Certification dateApril 21, 2025

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