Jerilyn Jackson, M.D.
Emergency Medicine Physician · Santa Rosa, CA
Jerilyn Jackson, M.D. is an emergency medicine physician with a practice address in Santa Rosa, California, and NPI 1962446575, issued on Jun 15, 2006. Check the license (California G67649, as entered in NPPES) on the Medical Board of California; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Jerilyn Jackson
- Credential
- M.D.
- Primary taxonomy
- Emergency Medicine Physician 207P00000X
- License number
- G67649 CA
Self-reported in NPPES; status is on the state search - Practice location
- 1110 N Dutton Ave, Santa Rosa, CA 95401
- Phone
- (707) 303-3600
- Enumerated
- Jun 15, 2006
- Entity
- Type 1 · individual
Also registered at 1110 N Dutton Ave
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- Suzanne Dedmore, RN, FNP-CFamily Nurse Practitioner1013296326
- Carlo Ferrarone, PA-CMedical Physician Assistant1114051588
- Mahsa Sadat JafariGeneral Practice Dentistry1962139766
- Wendy Kohatsu, MDFamily Medicine Physician1609973478
Verify Jerilyn Jackson in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersMedical Board of California
Search for license G67649Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS, AOA, NCCPA, AANPNot checked
Emergency Medicine Physician providers in California
There are 7,751 emergency medicine physician records in California. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
Other emergency medicine physician records in California
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- Michael Abbo, MDNovato, CA1205819042
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- Paul-Andre Abboud, M.D.Oakland, CA1710065503
- Mostafa Abdel-Hamid, MDStanford, CA1457918740
- Ashraf Abdel-KerimChino, CA1396961538
Common questions
What is Jerilyn Jackson, M.D.'s NPI number?
Jerilyn Jackson, M.D.'s National Provider Identifier (NPI) is 1962446575, issued on Jun 15, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Jerilyn Jackson, M.D. located?
The NPPES record lists a practice address at 1110 N Dutton Ave, Santa Rosa, CA, 95401. Phone: (707) 303-3600. Providers update this record themselves, so call before visiting.
How can I verify Jerilyn Jackson, M.D.'s license?
NPPES lists California license number G67649, 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.
Source: CMS National Plan and Provider Enumeration System (NPPES), loaded Aug 27, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. 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 only as counts) 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.