DAHLIN JACKSON DO
NPI 1538804877
Psychiatry & Neurology - Child & Adolescent Psychiatry in San Diego, CA
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
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dahlin Jackson Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Dahlin Jackson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Diego, CA 92103
- Reassigned Medicare billing, California enrollment
- 1,100 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
SAN DIEGO, CA 92123
SAN DIEGO, CA 92123
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.
Which organization bills Medicare for Dahlin Jackson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Dahlin Jackson reassigns Medicare benefits to Family Health Centers Of San Diego Inc (San Diego, 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 Dahlin Jackson'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 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 5 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.
# Dahlin Jackson, DO · NPI 1538804877
Child & Adolescent Psychiatry physician in San Diego, California. Individual provider, active in the CMS NPPES registry since May 2, 2022.
## Identity
- **NPI:** 1538804877 (Entity type: Individual)
- **Enumerated:** May 2, 2022
- **Primary specialty:** Psychiatry & Neurology - Child & Adolescent Psychiatry · taxonomy 2084P0804X
- **State license:** 20A23927 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 3020 CHILDRENS WAY, San Diego, CA 92123-4223
- **Phone:** (858) 576-1700
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Family Health Centers Of San Diego Inc (NPI 1629456900, San Diego, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 12, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1538804877) · Data from the CMS NPPES public registry.