DR. AJANI DECHAUN JACKSON MD
NPI 1740411214
Psychiatry & Neurology - Psychiatry in Concord, CA

Q: What is Ajani Jackson's NPI number?

The NPI number for Ajani Jackson is 1740411214. It was assigned to this individual provider in the NPPES registry on August 2, 2009.

Q: What is Ajani Jackson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Ajani Jackson was last updated on May 8, 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.

Active since August 02, 2009PECOS Enrolled

1959 SOLANO WAY, CONCORD, CA 94520(925) 676-9768 Get Directions Write a Review

NPPES record last updated: May 8, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 8, 2026, Apr 25, 2019 (2 updates tracked since 2019).

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About Dr. Ajani Dechaun Jackson Md NPPES

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

DR. AJANI DECHAUN JACKSON MD (NPI 1740411214) is an individual psychiatry provider in Concord, California, licensed in California (A131170) and active in the NPI registry since August 2009. He is enrolled in Medicare PECOS and maintains a secondary practice location in El Dorado Hls.

NPPES Registry Identity

NPI1740411214

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameDR. AJANI DECHAUN JACKSONCredential: MD

Location Address1959 SOLANO WAYConcord, CA 94520-5526

Mailing AddressPo Box 4961El Dorado Hills, CA 95762-0027 · (404) 717-2168

Phone(925) 676-9768

Sole ProprietorNo

Enumeration DateAugust 2, 2009

Last NPPES UpdateMay 8, 20262 updates tracked since enumeration

NPPES CertifiedMay 8, 2026

✔ NPI 1740411214 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in CA · A131170

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 150257 (TX)

1959 SOLANO WAY, Concord, CA 94520

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Secondary Practice Location 1

Location 14641 Post St Unit 4961El Dorado Hls, CA 95762-3063 · Phone (404) 717-2168

Other Identifiers 1

Medicaid94-2209679CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ajani Dechaun Jackson Md 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.

Medicare Billing Reassignment

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

San Joaquin County Behavioral Health Services

38 mi

Mental Health (Including Community Mental Health Center)

220 W 11TH ST
Tracy, CA 95376

Reassigned Medicare billing, California enrollment
Medicare enrollment name: County Of San Joaquin
195 clinicians in this Medicare group

NPI 1306051370 (209) 468-8778

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 94520 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

$202.35 typical visit price

range $69.00 – $202.35

Typical copayment $50.58 (range $17.25 – $50.58)

Most-billed visit code 99205

Established Patient

$84.91 typical visit price

range $23.44 – $166.46

Typical copayment $21.22 (range $5.86 – $41.61)

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 20

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

STEPHANIA PONCE - JAUREGUI

Counselor (Mental Health)