Jackson Penry, MD
Jackson Penry, MD is a Diagnostic Radiology Physician in Mission Viejo, CA, registered under NPI 1003055401.
Getting there
The practice address on file is 27700 MEDICAL CENTER ROAD-RADIOLOGY DEPARTMENT, Mission Viejo, CA 92691. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| A114302 | CA | Diagnostic Radiology Physician primary |
This provider holds licence A114302 issued in CA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Practitioner - Diagnostic Radiology
- PAC ID
- 7517144298
Medicare enrolment is recorded as approved under the provider type Practitioner - Diagnostic Radiology. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Diagnostic Radiology covers
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. NUCC Health Care Provider Taxonomy, code 2085R0202X
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1003055401 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Feb 10, 2009 |
| Last updated | Jul 29, 2014 |
| Status | Active |
| Sole proprietor | No |
| Credential | MD |
| Practice address |
27700 MEDICAL CENTER ROAD-RADIOLOGY DEPARTMENT Mission Viejo, CA 92691 (949) 364-7744 |
| Mailing address |
DEPT LA 21789 Pasadena, CA 91185 |
| Other identifiers |
00A1143020
· BS/BC OF CA (CA) 1003055401 (CA) 0A1143020 (CA) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 0 | 0 | 3 | 0 | 5 | 5 | 4 | 0 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 0 | 0 | 3 | 0 | 5 | 1 | 4 | 0 |
Sum = 39 · next multiple of 10 = 40 · check digit = 1 · actual last digit = 1
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.