Keith Jackson, MD

ActiveIndividual ProviderGeneral Surgery
NPI issued: February 10, 2006

Quick Facts

NPI Number
1124091970
TypeIndividual
StatusActive
SpecialtyGeneral Surgery
Taxonomy207Y00000X — General Surgery
Phone
(858) 909-0770
StateCA

NPI Validation Status: Verified

✅Valid 10-digit NPI number (1124091970)
✅Active status confirmed
✅Verified by CMS NPPES Registry
✅HIPAA compliant identifier
✅Enumeration date on file (February 10, 2006)
Data source: CMS NPPES

Provider Overview

KEITH JACKSON, MD is a General Surgery provider based in San Diego, CA who has been registered with CMS since 2006. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1124091970
Provider TypeIndividual Provider
GenderMale
CredentialMD
StatusActive
Enumeration DateFebruary 10, 2006

Practice Location

CitySan Diego
StateCA
ZIP Code92121-1700
Phone(858) 909-0770

Specialties & Licenses

★ Primary
SpecialtyGeneral Surgery
Taxonomy Code207Y00000X
License StateCA

Mailing Address

CitySan Diego
StateCA
ZIP Code92121-1700
Phone(858) 909-0770
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1124091970 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1124091970for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1124091970 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About General Surgery

Specialists in General Surgery provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

Browse all General Surgeryproviders →
📊
13,956
General Surgery Providers in the US

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People Also Ask

What is Keith Jackson's NPI number?
Keith Jackson's NPI number is 1124091970, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Keith Jackson's NPI currently active?
Yes, Keith Jackson's NPI status is Active as of the latest CMS NPPES database updates.
What does Keith Jackson specialize in?
Keith Jackson specializes in General Surgery. The healthcare taxonomy code associated with this specialty is 207Y00000X.
Where does Keith Jackson practice?
Keith Jackson practices in San Diego, CA 92121-1700.
When was Keith Jackson's NPI issued?
Keith Jackson's NPI was issued on February 10, 2006.
What is Keith Jackson's provider type?
Keith Jackson is registered as an Individual Provider under CMS NPI Type 1.