Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jackson Randolph, MD

Individual provider Otolaryngology Physician · NPI 1063040970

Jackson Randolph, MD practises Otolaryngology in San Luis Obispo, California. Qualified in 2020, 6 years ago. Practices with Adventist Health Physicians Network, a 632-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
6
Licensed in
CA
In the registry since
2020
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

35 Casa St Ste 130
San Luis Obispo, CA 93405-1887
Phone: (805) 541-1422
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence A202960 (CA)

Record details

NPI number1063040970
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 28, 2020
Last updated in NPPESJune 14, 2025
Certification dateJune 14, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOTOLARYNGOLOGY
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Adventist Health Physicians Network — 632 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Payments from drug and device companies, 2025

Drug and device makers are required by federal law (the Physician Payments Sunshine Act) to report what they pay or give to clinicians, and CMS publishes the reports as Open Payments. This is the 2025 program year. A report is a record of a payment, not an allegation of anything, and many are small items such as meals. Only general payments are listed here; research payments and ownership or investment interests are reported separately by CMS and are not shown.

Travel and Lodging $1,511 5 payments · travel or lodging paid or reimbursed, such as to attend a conference
Food and Beverage $947 9 payments · a meal or drink at a meeting or visit, not a fee

Each amount is the sum of what companies reported for that kind of payment in 2025, rounded to the dollar. Not all of it is income to the clinician: a meal is not a fee, a charitable contribution goes to a charity, and a royalty or an acquisition payment is not a salary.

Check a report, or dispute one, at the source in CMS’s own tool, Open Payments. Corrections go through CMS’s dispute process. This site removes a home address on request and asks for no proof, because that is privacy; it will not remove an accurate payment report on request, because that is a statutory public disclosure.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

  • Adventist Health Sierra Vista Hospital · San Luis Obispo, CA
  • French Hospital Medical Center Hospital · San Luis Obispo, CA
  • Marian Regional Medical Center Hospital · Santa Maria, CA

Colleagues at Adventist Health Physicians Network

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 632 clinicians in the practice; 12 are shown here.

Other providers in San Luis Obispo