DR. TYLER PEMBROKE JACKSON MD
NPI 1295355816
Emergency Medicine in Santa Monica, CA

Q: What is Tyler Jackson's NPI number?

The NPI number for Tyler Jackson is 1295355816. It was assigned to this individual provider in the NPPES registry on April 23, 2020.

Q: What is Tyler Jackson's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Tyler Jackson was last updated on February 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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 April 23, 2020PECOS EnrolledAccepts Medicare Assignment

1250 16TH ST STE 2100, SANTA MONICA, CA 90404(424) 259-6593 Get Directions Write a Review

NPPES record last updated: February 2, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 2, 2026, Jul 13, 2023, Apr 23, 2020 (3 updates tracked since 2020).

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About Dr. Tyler Pembroke Jackson Md NPPES

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

DR. TYLER PEMBROKE JACKSON MD (NPI 1295355816) is an individual emergency medicine provider in Santa Monica, California, licensed in California (A196288) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS and is a graduate of University Of Utah School Of Medicine (2020).

NPPES Registry Identity

NPI1295355816

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameDR. TYLER PEMBROKE JACKSONCredential: MD

Location Address1250 16TH ST STE 2100Santa Monica, CA 90404-1249

Mailing Address5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631

Phone(424) 259-6593

Sole ProprietorNo

Medical School CMSUniversity Of Utah School Of MedicineGraduated 2020

Enumeration DateApril 23, 2020

Last NPPES UpdateFebruary 2, 20263 updates tracked since enumeration

NPPES CertifiedFebruary 2, 2026

✔ NPI 1295355816 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in CA · A196288

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

1250 16TH ST STE 2100, Santa Monica, CA 90404

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Tyler Pembroke 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 ID7810319803

PECOS Enrollment IDI20240820003839

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.

Areas of Expertise CMS Part B claims 5

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

140 services140 patients

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

66 services17 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

27 services27 patients

Aspiration and/or injection of fluid from medium joint 20605

This procedure involves a needle being inserted into a medium-sized joint, such as a knee or shoulder, to remove (aspirate) excess fluid. Sometimes, medication may also be injected into the joint to reduce inflammation and pain.

14 services13 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.

11 services11 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

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 10

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

DR. SOROUSH BAGHDADI MD

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