DR. PETER J JACKSON M.D.
NPI 1366536328
Pediatrics - Adolescent Medicine in Pasadena, CA
- Individual
- Male
- Pediatrics
- Adolescent Medicine
About PETER JACKSON
This page provides the complete NPI Profile along with additional information for Peter Jackson, a pediatrician established in Pasadena, California with a medical specialization in Pediatrics, focusing in adolescent medicine . The healthcare provider is registered in the NPI registry with number 1366536328 assigned on October 2006. The practitioner's primary taxonomy code is 2080A0000X with license number G46502 (CA). The provider is registered as an individual and his NPI record was last updated 19 years ago.
- NPI
- 1366536328 Verify this NPI
- Provider Name
- DR. PETER J JACKSON M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 504 S SIERRA MADRE BLVD PASADENA, CA 91107
- Location Phone
- (626) 795-8811
- Location Fax
- (626) 795-0935
- Mailing Address
- 504 S SIERRA MADRE BLVD PASADENA, CA 91107
- Mailing Phone
- (626) 795-8811
- Mailing Fax
- (626) 795-0935
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 10-03-2006
- Last Update Date
- 07-08-2007
- Code Navigator
A pediatrician like Peter Jackson is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics Adolescent Medicine
- Taxonomy Code
- 2080A0000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- G46502
- License State
- CA
- Taxonomy Description
- A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
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Other Providers at the Same Location
The following 17 providers are registered at the same or a nearby location.
PASADENA, CA 91107
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1366536328, enumerated as an "individual" on October 03, 2006.
The provider is located at 504 S SIERRA MADRE BLVD PASADENA, CA 91107 and the phone number is (626) 795-8811.
Pediatrics with taxonomy code 2080A0000X and a focus in Adolescent Medicine.
