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DR. PETER J JACKSON M.D.
NPI 1366536328
Pediatrics - Adolescent Medicine in Pasadena, CA

Active since October 03, 2006
504 S SIERRA MADRE BLVD, PASADENA, CA 91107(626) 795-8811(626) 795-0935 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Peter J Jackson M.d. NPPES

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

DR. PETER J JACKSON M.D. (NPI 1366536328) is an individual adolescent medicine provider in Pasadena, California, licensed in California (G46502) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1366536328
Entity TypeIndividualMale
Primary Taxonomy2080A0000X
Provider Legal NameDR. PETER J JACKSONCredential: M.D.
Location Address504 S SIERRA MADRE BLVDPasadena, CA 91107-5240
Mailing Address504 S Sierra Madre BlvdPasadena, CA 91107-5240 · (626) 795-8811 · Fax (626) 795-0935
Phone(626) 795-8811
Fax(626) 795-0935
Sole ProprietorYes
Enumeration DateOctober 3, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1366536328 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
License✔ Licensed in CA · G46502
Definition
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.
504 S SIERRA MADRE BLVD, Pasadena, CA 91107
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Other Providers at the Same Location NPPES 17

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

DR. JAMES M. DUVALL M.D.
Pediatrics (Adolescent Medicine)
504 S SIERRA MADRE BLVD
PASADENA, CA 91107
Los Angeles County (626) 795-8811
JOANNE THERESE ASUNCION MD
Pediatrics
504 S SIERRA MADRE BLVD
PASADENA, CA 91107
Los Angeles County (626) 795-8811
CAROLINA MAE UNGS MD
Pediatrics
504 S SIERRA MADRE BLVD
PASADENA, CA 91107
Los Angeles County (818) 361-5437
DR. ALLISON ROSE YIM M.D.
Pediatrics
504 S SIERRA MADRE BLVD
PASADENA, CA 91107
Los Angeles County (626) 795-8811
JASMEET GILL MD INC
Pediatrics
504 S SIERRA MADRE BLVD
PASADENA, CA 91107
Los Angeles County (626) 795-8811
JANESRI DE SILVA M.D. A PROF CORP
Pediatrics
504 S SIERRA MADRE BLVD
PASADENA, CA 91107
Los Angeles County (818) 361-5437
JASMEET GILL MD
Pediatrics
504 S SIERRA MADRE BLVD
PASADENA, CA 91107
Los Angeles County (626) 795-8811
CZE-JA TAM
Nurse Practitioner (Pediatrics)
504 S SIERRA MADRE BLVD
PASADENA, CA 91107
Los Angeles County (626) 795-8811

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 Peter Jackson's NPI number?

The NPI number for Peter Jackson is 1366536328. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Where is Peter Jackson located?

Peter Jackson practices at 504 S Sierra Madre Blvd, Pasadena, CA 91107. The listed phone number is (626) 795-8811.

What is Peter Jackson's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

When was this NPI record last updated?

The NPPES record for Peter Jackson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.