1. Home
  2. Directory
  3. California
  4. San Pedro
  5. Psychiatry Neurology
  6. NPI Profile

JACK EVERETT DOWNHILL JR. MD
NPI 1467522813
Psychiatry & Neurology - Psychiatry in San Pedro, CA

Active since November 09, 2006PECOS EnrolledAccepts Medicare Assignment
3031 S DENISON AVE, SAN PEDRO, CA 90731(323) 379-3611 Get Directions Write a Review

NPPES record last updated: September 8, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 8, 2020, Mar 17, 2018, Dec 1, 2017 and 1 more (4 updates tracked since 2017).

About Jack Everett Downhill Jr. Md NPPES

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

JACK EVERETT DOWNHILL JR. MD (NPI 1467522813) is an individual psychiatry provider in San Pedro, California, licensed in California (A50066) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (1986).

NPPES Registry Identity

NPI1467522813
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameJACK EVERETT DOWNHILL JR.Credential: MD
Location Address3031 S DENISON AVESan Pedro, CA 90731-6703
Mailing Address3181 Sw Sam Jackson Park RdPortland, OR 97239-3011 · (503) 494-6176 · Fax (503) 494-6152
Phone(323) 379-3611
Sole ProprietorNo
Medical School CMSOtherGraduated 1986
Enumeration DateNovember 9, 2006
Last NPPES UpdateSeptember 8, 20204 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2020
✔ NPI 1467522813 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses✔ Licensed in CA · A50066✔ Licensed in OR · MD180816✔ Licensed in NY · 198053
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
3031 S DENISON AVE, San Pedro, CA 90731
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1NSUH-Dept of Psychiatry, 300 Community DriveManhasset, NY 11030 · Phone (516) 562-3051
Location 23181 SW Sam Jackson Park RdPortland, OR 97239-3011 · Phone (503) 494-6176 · Fax (501) 494-6152

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

Jack Everett Downhill Jr. 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 ID4082682208
PECOS Enrollment IDI20251106004496
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 Reassignment

Medicare enrollment records show Jack Downhill reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Behavioral Health Centers Of California Psychological Services
51 mi
Mental Health (Including Community Mental Health Center)
27201 TOURNEY RD STE 200D
Valencia, CA 91355
  • Reassigned Medicare billing, California enrollment
  • 3 clinicians in this Medicare group
NPI 1669124996 (818) 488-1777

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90731 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
$187.60 typical visit price
range $62.96 – $187.60
Typical copayment $46.90 (range $15.74 – $46.90)
Most-billed visit code 99205
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
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

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

SPARK PHYSICIAN ASSISTANT SERVICES, INC.
Psychiatry & Neurology (Psychiatry)
3031 S DENISON AVE
SAN PEDRO, CA 90731
Los Angeles County (323) 379-3611

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 Jack Downhill's NPI number?

The NPI number for Jack Downhill is 1467522813. It was assigned to this individual provider in the NPPES registry on November 9, 2006.

Where is Jack Downhill located?

Jack Downhill practices at 3031 S Denison Ave, San Pedro, CA 90731. The listed phone number is (323) 379-3611.

What is Jack Downhill's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Jack Downhill enrolled in Medicare?

Yes. Jack Downhill is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Jack Downhill's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jack Downhill reassigns Medicare benefits to Behavioral Health Centers Of California Psychological Services (Valencia, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jack Downhill's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jack Downhill was last updated on September 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.