National Provider Identifier Database

KEITH A JACKSON, MD – NPI #1124091970
Otolaryngology

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.


Contact Information

KEITH A JACKSON, MD
5405 OBERLIN DR FL 2
SAN DIEGO, CA92121-1700
Phone: 858-909-0770
Fax: 858-909-0880
Website:
Specialty Taxonomy Code
* Otolaryngology 207Y00000X
Otology & Neurotology 207YX0901X

* Indicates primary specialty

NPI Profile & details for KEITH A JACKSON

NPI Number 1124091970
Credentials MD
Entity Individual
Enumeration date 02/10/2006
Last updated 01/25/2024 - About 2 years ago
Sole proprietor1 Yes
Identifiers
  • CA License #: G58187
  • NV License #: 8547
  • NV Medicaid: 002018083
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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