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DR. KEITH WAYNE JACKSON M.D.
NPI 1548399538
Anesthesiology in Los Angeles, CA

Active since March 05, 2007PECOS EnrolledAccepts Medicare Assignment
235 N HOOVER ST, LOS ANGELES, CA 90004(949) 707-5339 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Keith Wayne Jackson M.d. NPPES

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

DR. KEITH WAYNE JACKSON M.D. (NPI 1548399538) is an individual anesthesiology provider in Los Angeles, California, licensed in California (G46539) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS and is a graduate of Johns Hopkins University School Of Medicine (1980).

NPPES Registry Identity

NPI1548399538
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameDR. KEITH WAYNE JACKSONCredential: M.D.
Location Address235 N HOOVER STLos Angeles, CA 90004-3627
Mailing Address25108 Marguerite Pkwy, Suite A 203Mission Viejo, CA 92692-2400 · (949) 707-5339
Phone(949) 707-5339
Sole ProprietorYes
Medical School CMSJohns Hopkins University School Of MedicineGraduated 1980
Enumeration DateMarch 5, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1548399538 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in CA · G46539
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
235 N HOOVER ST, Los Angeles, CA 90004
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Other Identifiers 3

Medicare ID-Type UnspecifiedG46539ACA
Medicaid00G465391CA
Medicare UPINC36095CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Keith Wayne Jackson M.d. 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 ID8325132483
PECOS Enrollment IDI20070919000962
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 13

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

MS. PAZ M. LORENZO NP-C
Nurse Practitioner (Family)
235 N HOOVER ST
LOS ANGELES, CA 90004
Los Angeles County (213) 382-7252
PATRICK L MULLENS M D INC
Pathology (Anatomic Pathology & Clinical Pathology)
235 N HOOVER ST
LOS ANGELES, CA 90004
Los Angeles County (213) 383-5884
KENNETH C NIEBERG MD
Pathology (Anatomic Pathology & Clinical Pathology)
235 N HOOVER ST
LOS ANGELES, CA 90004
Los Angeles County (213) 382-7252
J. CHANBONPIN, M.D., INC
Specialist
235 N HOOVER ST
LOS ANGELES, CA 90004
Los Angeles County (213) 382-7252
KENNETH C NIEBERG MD INC
Pathology (Anatomic Pathology & Clinical Pathology)
235 N HOOVER ST
LOS ANGELES, CA 90004
Los Angeles County (213) 382-7252
DAVID POSEY MD
Pathology (Anatomic Pathology & Clinical Pathology)
235 N HOOVER ST
LOS ANGELES, CA 90004
Los Angeles County (213) 382-7252
SEAN SHAHRIAR SHAHANGIAN MD
Anesthesiology
235 N HOOVER ST
LOS ANGELES, CA 90004
Los Angeles County (213) 382-4823
FARIBA PAYANDEH MD
Pathology (Anatomic Pathology & Clinical Pathology)
235 N HOOVER ST
LOS ANGELES, CA 90004
Los Angeles County (213) 382-7252

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 Keith Jackson's NPI number?

The NPI number for Keith Jackson is 1548399538. It was assigned to this individual provider in the NPPES registry on March 5, 2007.

Where is Keith Jackson located?

Keith Jackson practices at 235 N Hoover St, Los Angeles, CA 90004. The listed phone number is (949) 707-5339.

What is Keith Jackson's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Keith Jackson enrolled in Medicare?

Yes. Keith Jackson 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.

When was this NPI record last updated?

The NPPES record for Keith 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.