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MR. MELVIN L JACKSON MD
NPI 1922049295
Emergency Medicine in Los Angeles, CA

Active since June 09, 2006PECOS Enrolled
1225 WILSHIRE BOULEVARD, GOOD SAMARITAN HOSPITAL, LOS ANGELES, CA 90017(213) 977-2423(213) 202-7028 Get Directions Write a Review

NPPES record last updated: February 27, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Melvin L Jackson Md NPPES

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

MR. MELVIN L JACKSON MD (NPI 1922049295) is an individual emergency medicine provider in Los Angeles, California, licensed in California (G32876) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922049295
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameMR. MELVIN L JACKSONCredential: MD
Location Address1225 WILSHIRE BOULEVARD, GOOD SAMARITAN HOSPITALLos Angeles, CA 90017-2395
Mailing Address2550 North Hollywood Way, Suite 204Burbank, CA 91505-5040 · (818) 557-0135 · Fax (818) 557-1394
Phone(213) 977-2423
Fax(213) 202-7028
Sole ProprietorYes
Enumeration DateJune 9, 2006
Last NPPES UpdateFebruary 27, 2009
✔ NPI 1922049295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in CA · G32876
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedInternal MedicineTaxonomy 207R00000X · License G32876 (CA)
1225 WILSHIRE BOULEVARD, Los Angeles, CA 90017
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Other Identifiers 8

Medicaid00G328760CA
Medicare PINHG32876C
Medicare PIN930128073
OtherG32876CA · Blue Cross
Other00G328760Blue Shield
Medicare UPINA45327CA
Medicare PINCI2075
Medicare PINAZ541YCA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Melvin L 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90017 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
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 10

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

KRISTINA L. STILWELL PA-C
Physician Assistant
1225 WILSHIRE BOULEVARD
LOS ANGELES, CA 90017
Los Angeles County (213) 977-2423
DR. ROBERT F. KERNS M.D.
Emergency Medicine
1225 WILSHIRE BOULEVARD
LOS ANGELES, CA 90017
Los Angeles County (213) 977-2423
DR. JOHN A. HATHERLEY M.D.
Emergency Medicine
1225 WILSHIRE BOULEVARD
LOS ANGELES, CA 90017
Los Angeles County (213) 977-2423
DR. BRIAN W. HARRIS M.D.
Emergency Medicine
1225 WILSHIRE BOULEVARD
LOS ANGELES, CA 90017
Los Angeles County (213) 977-2423
MR. JACK G. FULLER PA-C
Physician Assistant
1225 WILSHIRE BOULEVARD
LOS ANGELES, CA 90017
Los Angeles County (213) 977-2423
DR. RONALD E. LIEBERMAN M.D.
Emergency Medicine
1225 WILSHIRE BOULEVARD
LOS ANGELES, CA 90017
Los Angeles County (213) 977-2423
DR. NANCY J. KUHN M.D.
Emergency Medicine
1225 WILSHIRE BOULEVARD
LOS ANGELES, CA 90017
Los Angeles County (213) 977-2423
FAGAN ER MEDICAL GROUP INC
Internal Medicine
1225 WILSHIRE BOULEVARD
LOS ANGELES, CA 90017
Los Angeles County (213) 482-2741

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 Melvin Jackson's NPI number?

The NPI number for Melvin Jackson is 1922049295. It was assigned to this individual provider in the NPPES registry on June 9, 2006.

Where is Melvin Jackson located?

Melvin Jackson practices at 1225 Wilshire Boulevard Good Samaritan Hospital, Los Angeles, CA 90017. The listed phone number is (213) 977-2423.

What is Melvin Jackson's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Melvin Jackson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Melvin Jackson was last updated on February 27, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.