GEOFFREY ALAN JACKMAN MD
NPI 1235210022
Pediatrics - Pediatric Emergency Medicine in San Diego, CA

Active since October 18, 2006PECOS Enrolled
3020 CHILDREN'S WAY, SAN DIEGO, CA 92123(858) 966-8036 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 21, 2022, Aug 22, 2017 (2 updates tracked since 2017).

About Geoffrey Alan Jackman Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GEOFFREY ALAN JACKMAN MD (NPI 1235210022) is an individual pediatric emergency medicine provider in San Diego, California, licensed in California (C149126) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of Indiana University School Of Medicine (1994).

NPPES Registry Identity

NPI1235210022
Entity TypeIndividualMale
Primary Taxonomy2080P0204X
Provider Legal NameGEOFFREY ALAN JACKMANCredential: MD
Location Address3020 CHILDREN'S WAYSan Diego, CA 92123
Mailing Address3020 Childrens Way # Mc5003San Diego, CA 92123-4223 · (858) 309-6300
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 1994
Enumeration DateOctober 18, 2006
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
NPI 1235210022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
Licenses Licensed in CA · C149126 Licensed in UT · 4757219-1205
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
3020 CHILDREN'S WAY, San Diego, CA 92123

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Geoffrey Alan Jackman Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8628025509
PECOS Enrollment IDI20260226003107
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
3020 CHILDREN'S WAY, MC 5008
SAN DIEGO, CA 92123
General Acute Care Hospital (Children)
3020 CHILDREN'S WAY
SAN DIEGO, CA 92123
Psychiatry & Neurology (Child & Adolescent Psychiatry)
3020 CHILDREN'S WAY, MC 5107 - CAPS UNIT
SAN DIEGO, CALIFORNIA 92123
Dietitian, Registered
3020 CHILDREN'S WAY
SAN DIEGO, CA 92123
Social Worker (Clinical)
3020 CHILDREN'S WAY, MC 5100
SAN DIEGO, CA 92123
Social Worker (Clinical)
3020 CHILDREN'S WAY, MC 5100
SAN DIEGO, CA 92123
Social Worker (Clinical)
3020 CHILDREN'S WAY, MC 5100
SAN DIEGO, CA 92123
Counselor (Mental Health)
3020 CHILDREN'S WAY
SAN DIEGO, CA 92123

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Geoffrey Jackman's NPI number?

The NPI number for Geoffrey Jackman is 1235210022. It was assigned to this individual provider in the NPPES registry on October 18, 2006.

Where is Geoffrey Jackman located?

Geoffrey Jackman practices at 3020 Children's Way, San Diego, CA 92123. The listed phone number is (858) 966-8036.

What is Geoffrey Jackman's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Is Geoffrey Jackman enrolled in Medicare?

Yes. Geoffrey Jackman is registered in the Medicare PECOS enrollment system.

What insurance does Geoffrey Jackman accept?

Health plans from BlueCross BlueShield of South Carolina list Geoffrey Jackman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Geoffrey Jackman was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.