DR. RYAN PATRICK JACKSON M.D. PH.D. M.ENG. NPI 1699153130

NPI Information

  • NPI: 1699153130
  • Provider Name: DR. RYAN PATRICK JACKSON, M.D., PH.D., M.ENG.
  • Classification: Pathology - 207ZH0000X
  • Specialization: Hematology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1500 DUARTE RD
    DUARTE, CA
    ZIP 91010
  • Phone: (626) 256-4673

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NPI Details

DR. Ryan Patrick Jackson, M.D., PH.D., M.ENG. is a hematology pathology in Duarte, CA with 11 years of experience. The provider is a hematopathologist is expert in diseases that affect blood cells, blood clotting mechanisms, bone marrow and lymph nodes. This physician has the knowledge and technical skills essential for the laboratory diagnosis of anemias, leukemias, lymphomas, bleeding disorders and blood clotting disorders. DR. Ryan Patrick Jackson, M.D., PH.D., M.ENG. NPI is 1699153130. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1500 DUARTE RD
DUARTE, CA
ZIP 91010-012
Phone: (626) 256-4673

The NPI 1699153130 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Protein measurement, serum (HCPCS:84165)
  • Immunologic analysis technique on serum (immunofixation) (HCPCS:86334)
  • Special stained specimen slides to examine tissue, each additional procedure (HCPCS:88341)
  • Mechanical separation of white blood cells and platelets from blood (HCPCS:36522)
  • Pathology examination of tissue using a microscope, intermediate complexity (HCPCS:88305)
  • Surgical pathology consultation and report on referred slides prepared elsewhere (HCPCS:88321)
  • Special stained specimen slides to examine tissue, initial procedure (HCPCS:88342)
  • Bone marrow, smear interpretation (HCPCS:85097)
  • Preparation of tissue for examination by removing any calcium present (HCPCS:88311)
  • Flow cytometry technique for dna or cell analysis, 16 or more markers (HCPCS:88189)
  • Collection of stem cells for transplantation (HCPCS:38206)
  • Microscopic genetic analysis of tumor, manual (HCPCS:88360)
  • Protein measurement, body fluid (HCPCS:84166)
  • Immunologic analysis technique on body fluid, other fluids with concentration (HCPCS:86335)
  • Special stained specimen slides to examine tissue including interpretation and report (HCPCS:88313)

The enumeration date for this NPI number is 5/18/2015 and was last updated on 5/7/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207ZP0102XPathologyAnatomic Pathology & Clinical PathologyA150177CALIFORNIANo
2390200000XStudent in an Organized Health Care Education/Training ProgramNo
3207ZH0000XPathologyHematologyA150177CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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