KENT R JACKSON MD
NPI 1871660613
Neuromusculoskeletal Medicine & OMM in Harbor City, CA
About Kent R Jackson Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KENT R JACKSON MD (NPI 1871660613) is an individual neuromusculoskeletal medicine & omm provider in Harbor City, California, licensed in California (A78820) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of University Of California, Geffen School Of Medicine (2000).
NPPES Registry Identity
Specialties & Licenses
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
Kent R Jackson 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.
Medicare Billing Reassignment
Medicare enrollment records show Kent Jackson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Harbor City, CA 90710
- Reassigned Medicare billing, California enrollment
- 13,921 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.
HARBOR CITY, CA 90710
HARBOR CITY, CA 90710
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 Kent Jackson's NPI number?
The NPI number for Kent Jackson is 1871660613. It was assigned to this individual provider in the NPPES registry on November 29, 2006.
Where is Kent Jackson located?
Kent Jackson practices at 25825 Vermont Ave, Harbor City, CA 90710. The listed phone number is (310) 325-5111.
What is Kent Jackson's specialty?
The primary specialty registered for this NPI is Neuromusculoskeletal Medicine & OMM with taxonomy code 204D00000X.
Is Kent Jackson enrolled in Medicare?
Yes. Kent 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.
Which organization bills Medicare for Kent Jackson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kent Jackson reassigns Medicare benefits to Southern California Permanente Medical Group (Harbor City, 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 Kent 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 Kent Jackson was last updated on November 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Kent R Jackson, MD · NPI 1871660613
Neuromusculoskeletal Medicine & OMM physician in Harbor City, California. Individual provider, active in the CMS NPPES registry since November 29, 2006.
## Identity
- **NPI:** 1871660613 (Entity type: Individual)
- **Enumerated:** November 29, 2006
- **Primary specialty:** Neuromusculoskeletal Medicine & OMM · taxonomy 204D00000X
- **State license:** A78820 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 25825 VERMONT AVE, Harbor City, CA 90710-3518
- **Phone:** (310) 325-5111
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Southern California Permanente Medical Group (NPI 1598797011, Harbor City, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of California, Geffen School Of Medicine, class of 2000
## Record status
- **NPPES last updated:** November 30, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1871660613) · Data from the CMS NPPES public registry.