Jack Martin Anderson
M.D. | Pediatric Neonatal-Perinatal Medicine | Male
Jack Martin Anderson, M.D. is a San Diego, California based Pediatric doctor with medical specialization in
Pediatric Neonatal-Perinatal Medicine.
Current practice location of Jack Martin Anderson is
3003 Health Center Dr, San Diego, California - 92123-2700. He can be contacted on phone at
858-939-4185.
Jack Martin Anderson is a sole proprietor of his business.
NPI number (Unique professional ID) for Jack Martin Anderson is
1609948223 which was assigned by NPPES on 15 Nov, 2006 and it was last updated on 11 Dec, 2013.
Jack Martin Anderson license number is
G60266 for Pediatrics Neonatal-Perinatal Medicine (2080N0001X) in California.
Jack Martin Anderson is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Complete Profile:
Jack Martin Anderson basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Neonatal-Perinatal Medicine |
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| Provider Name : | Jack Martin Anderson |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Jack Martin Anderson address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 3003 Health Center Dr
San Diego, CA, 92123-2700
United States |
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| Phone Number : | 858-939-4185 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1609948223 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 15 Nov, 2006 |
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| Last Updated On : | 11 Dec, 2013 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jack Martin Anderson are as mentioned. Primary taxonomy code for Jack Martin Anderson, M.D. is
2080N0001X (Pediatrics Neonatal-Perinatal Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 208000000X | Pediatrics | No | G60266 | CA |
| 2080N0001X | Pediatrics Neonatal-Perinatal Medicine | Yes | G60266 | CA |
Legacy Identifiers:
Other legacy medical identifiers of Jack Martin Anderson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 00G602660 | MEDICAID | CA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 8555 Aero Drive, Suite 104
San Diego, CA, 92123
United States |
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| Phone Number : | 858-384-7828 |
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| Fax Number : | 858-598-6344 |
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Business Location:
Patients can refer following map for directions to
Jack Martin Anderson practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.