ROBERT JULIAN JACKSON MD
NPI 1265843437
Psychiatry & Neurology - Neurology in Santa Monica, CA

Q: What is Robert Jackson's NPI number?

The NPI number for Robert Jackson is 1265843437. It was assigned to this individual provider in the NPPES registry on May 9, 2014.

Q: What is Robert Jackson's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Q: When was this NPI record last updated?

The NPPES record for Robert Jackson was last updated on November 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since May 09, 2014PECOS EnrolledAccepts Medicare Assignment

2121 SANTA MONICA BLVD, SANTA MONICA, CA 90404(310) 829-8319(310) 829-8607 Get Directions Write a Review

NPPES record last updated: November 3, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 3, 2021, Aug 13, 2020, Sep 5, 2019 and 1 more (4 updates tracked since 2019).

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About Robert Julian Jackson Md NPPES

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

ROBERT JULIAN JACKSON MD (NPI 1265843437) is an individual neurology provider in Santa Monica, California, licensed in California (A155009) and active in the NPI registry since May 2014. He is enrolled in Medicare PECOS, maintains a secondary practice location in Phoenix, and is a graduate of Eastern Virginia Medical School (2014).

NPPES Registry Identity

NPI1265843437

Entity TypeIndividualMale

Primary Taxonomy2084N0400X

Provider Legal NameROBERT JULIAN JACKSONCredential: MD

Location Address2121 SANTA MONICA BLVDSanta Monica, CA 90404-2303

Mailing Address350 W Thomas RdPhoenix, AZ 85013-4409

Phone(310) 829-8319

Fax(310) 829-8607

Sole ProprietorNo

Medical School CMSEastern Virginia Medical SchoolGraduated 2014

Enumeration DateMay 9, 2014

Last NPPES UpdateNovember 3, 20214 updates tracked since enumeration

NPPES CertifiedNovember 3, 2021

✔ NPI 1265843437 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

License✔ Licensed in CA · A155009

Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

Also ListedHospitalistTaxonomy 208M00000X · License A155009 (CA)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

2121 SANTA MONICA BLVD, Santa Monica, CA 90404

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Secondary Practice Location 1

Location 1350 W Thomas RdPhoenix, AZ 85013-4409 · Phone (602) 404-3322 · Fax (602) 294-5090

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Robert Julian Jackson Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3375878473

PECOS Enrollment IDI20190711002023

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.

Medicare Billing Reassignments

Medicare enrollment records show Robert Jackson reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Providence Saint Johns Medical Foundation

Same address

Specialist

2121 SANTA MONICA BLVD
Santa Monica, CA 90404

Reassigned Medicare billing, California enrollment
461 clinicians in this Medicare group

NPI 1770093734 (310) 582-7312

Cep America - Neurology PC

12 mi

Neurology

1300 N VERMONT AVE
Los Angeles, CA 90027

Reassigned Medicare billing, California enrollment
117 clinicians in this Medicare group

NPI 1376308981 (213) 413-3000

Providence Medical Institute

15 mi

Family Medicine

4101 TORRANCE BLVD
Torrance, CA 90503

Reassigned Medicare billing, California enrollment
266 clinicians in this Medicare group

NPI 1235182569 (310) 793-8075

Providence Health & Services Oregon

823 mi

Internal Medicine

4400 NE HALSEY ST
Portland, OR 97213

Reassigned Medicare billing, California enrollment
16 clinicians in this Medicare group

NPI 1164623401 (503) 893-6524

Providence Health & Services - Washington

830 mi

Family Medicine

380 CHASE AVENUE, PMG SE WA
Walla Walla, WA 99362

Reassigned Medicare billing, California enrollment
24 clinicians in this Medicare group

NPI 1922259738 (509) 526-3333

Providence Health & Services Mt

917 mi

Family Medicine

500 W BROADWAY ST
Missoula, MT 59802

Reassigned Medicare billing, California enrollment
16 clinicians in this Medicare group

NPI 1215222617 (406) 543-7271

Providence Health & Services Washington

927 mi

Family Medicine

525 LILLY RD NE
Olympia, WA 98506

Reassigned Medicare billing, California enrollment
22 clinicians in this Medicare group

NPI 1174744304 (360) 793-7230

Providence Health & Services- Washington

982 mi

General Practice

900 PACIFIC AVE, STE 501
Everett, WA 98201

Reassigned Medicare billing, California enrollment
22 clinicians in this Medicare group

NPI 1124270715 (425) 258-7550

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

119 services75 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

112 services64 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

89 services82 patients

Ultrasound of within the brain blood flow for blood clots 93892

An ultrasound of the brain's blood flow is a safe, non-invasive procedure that uses sound waves to create images of the blood vessels. This helps identify any blockages, like blood clots, that might disrupt normal blood flow and cause health issues.

56 services56 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

54 services53 patients

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

47 services47 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90404 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$142.39 typical visit price

range $62.96 – $187.60

Typical copayment $35.59 (range $15.74 – $46.90)

Most-billed visit code 99204

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

MINA RIM KANG MD

Hospitalist