Jackson Randolph, MD
Otolaryngology Physician · San Luis Obispo, CA
Jackson Randolph, MD is an otolaryngology physician with a practice address in San Luis Obispo, California, and NPI 1063040970, issued on Mar 28, 2020. Check the license (California A202960, as entered in NPPES) on the Medical Board of California; the Medicare figures below come from public CMS files.
- Name
- Jackson Randolph
- Credential
- MD
- Primary taxonomy
- Otolaryngology Physician 207Y00000X
- License number
- A202960 CA
Self-reported in NPPES; status is on the state search - Practice location
- 35 Casa St Ste 130, San Luis Obispo, CA 93405
- Phone
- (805) 541-1422
- Enumerated
- Mar 28, 2020
- Entity
- Type 1 · individual
Also registered at 35 Casa St Ste 130
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Megan Burkett, FNPFamily Nurse Practitioner1629518725
- Bhavishya Clark, M.D.Otolaryngology Physician1144677691
- Rabab Hajar, M.DGastroenterology Physician1003103805
- Poonam Joshi, PAPhysician Assistant1841751104
- Neal Moller, MDGastroenterology Physician1467420257
- Emily Nessen, P.A-CPhysician Assistant1831800564
Verify Jackson Randolph in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersMedical Board of California
Search for license A202960Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS, AOA, NCCPA, AANPNot checked
84% fewer Medicare Part D claims than the average otolaryngology physician in 2024
86 Medicare Part D claims for 49 beneficiaries, against an average of 541 among the 8,339 providers of this specialty who prescribed in Part D. 20 claims were for opioids.
Most prescribed
- Oxycodone-Acetaminophen19 claims
- Fluticasone Propionate17 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
Bills Medicare through one group practice
- Adventist Health Physicians NetworkSan Luis Obispo, CA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Otolaryngology Physician providers in California
There are 1,212 otolaryngology physician records in California.
All 1,212 in California → Every provider in San Luis Obispo →
Other otolaryngology physician records in California
- Arman Abdalkhani, MDPalo Alto, CA1356536130
- Abdul-Rahman Abdel-ReheemLos Angeles, CA1831770437
- Ahmed AbdelmeguidPalo Alto, CA1447744180
- Rami Abdou, M.D.Santa Rosa, CA1700143013
- Eric AbelloOrange, CA1922566215
- Mohamed Aboueisha, MDLos Angeles, CA1316678881
- Marianne Abouyared, M.D.Sacramento, CA1235472200
- Norton Abramson, M.D.San Clemente, CA1356488696
- Basil Adad, MDWalnut Creek, CA1487732574
- Brett Adams, MDStockton, CA1407934227
Common questions
What is Jackson Randolph, MD's NPI number?
Jackson Randolph, MD's National Provider Identifier (NPI) is 1063040970, issued on Mar 28, 2020. An NPI identifies a provider in billing; it is not a license.
Where is Jackson Randolph, MD located?
The NPPES record lists a practice address at 35 Casa St Ste 130, San Luis Obispo, CA, 93405. Phone: (805) 541-1422. Providers update this record themselves, so call before visiting.
How can I verify Jackson Randolph, MD's license?
NPPES lists California license number A202960, as entered by the provider. Search the Medical Board of California at https://www.mbc.ca.gov/License-Verification/default.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Jackson Randolph, MD prescribe under Medicare Part D?
In 2024, Jackson Randolph, MD had 86 Medicare Part D claims for 49 beneficiaries; the average among otolaryngology physician prescribers was 541. Part D covers Medicare prescriptions only.
Source: CMS National Plan and Provider Enumeration System (NPPES), loaded Aug 27, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments, the HHS-OIG exclusion list) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 27, 2026.