DAHLIN JACKSON DO
NPI 1538804877
Psychiatry & Neurology - Child & Adolescent Psychiatry in San Diego, CA

Active since May 02, 2022PECOS Enrolled
3020 CHILDRENS WAY, SAN DIEGO, CA 92123(858) 576-1700 Get Directions Write a Review

NPPES record last updated: May 12, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: May 12, 2026, May 2, 2022 (2 updates tracked since 2022).

About Dahlin Jackson Do NPPES

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

DAHLIN JACKSON DO (NPI 1538804877) is an individual child & adolescent psychiatry provider in San Diego, California, licensed in California (20A23927) and active in the NPI registry since May 2022. He is enrolled in Medicare PECOS and maintains a secondary practice location in San Diego.

NPPES Registry Identity

NPI1538804877
Entity TypeIndividualMale
Primary Taxonomy2084P0804X
Provider Legal NameDAHLIN JACKSONCredential: DO
Location Address3020 CHILDRENS WAYSan Diego, CA 92123-4223
Mailing Address3020 Childrens WaySan Diego, CA 92123-4223 · (858) 576-1700
Sole ProprietorNo
Enumeration DateMay 2, 2022
Last NPPES UpdateMay 12, 20262 updates tracked since enumeration
NPPES CertifiedMay 12, 2026
NPI 1538804877 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License Licensed in CA · 20A23927
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
3020 CHILDRENS WAY, San Diego, CA 92123

Secondary Practice Location 1

Location 12130 National AveSan Diego, CA 92113-2209 · Phone (619) 515-2382

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dahlin Jackson Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

Pathology (Pediatric Pathology)
3020 CHILDRENS WAY
SAN DIEGO, CA 92123
Physician Assistant
3020 CHILDRENS WAY
SAN DIEGO, CA 92123
Pediatrics (Pediatric Infectious Diseases)
3020 CHILDRENS WAY
SAN DIEGO, CA 92123
Speech-Language Pathologist
3020 CHILDRENS WAY, MC5010
SAN DIEGO, CA 92123
Audiologist
3020 CHILDRENS WAY, MC 5010
SAN DIEGO, CA 92123
Pediatrics
3020 CHILDRENS WAY
SAN DIEGO, CA 92123
Pediatrics (Pediatric Emergency Medicine)
3020 CHILDRENS WAY
SAN DIEGO, CA 92123
Nurse Practitioner (Pediatrics)
3020 CHILDRENS WAY
SAN DIEGO, CA 92123

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 Dahlin Jackson's NPI number?

The NPI number for Dahlin Jackson is 1538804877. It was assigned to this individual provider in the NPPES registry on May 2, 2022.

Where is Dahlin Jackson located?

Dahlin Jackson practices at 3020 Childrens Way, San Diego, CA 92123. The listed phone number is (858) 576-1700.

What is Dahlin Jackson's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Dahlin Jackson enrolled in Medicare?

Yes. Dahlin Jackson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Dahlin Jackson was last updated on May 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.