Dr. Jackson Vane
MD | Pediatric Emergency Medicine | Male
Dr. Jackson Vane, MD is a San Diego, California based Pediatric doctor with medical specialization in
Pediatric Emergency Medicine.
Current practice location of Dr. Jackson Vane is
3020 Childrens Way, San Diego, California - 92123-4223. He can be contacted on phone at
858-966-8036.
Dr. Jackson Vane is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Jackson Vane is
1952608580 which was assigned by NPPES on 16 Feb, 2011 and it was last updated on 15 Dec, 2016.
Dr. Jackson Vane license number is
RS2014-0568 for Pediatrics Pediatric Emergency Medicine (2080P0204X) in New Mexico.
Dr. Jackson Vane has special qualifications to manage emergencies in infants and children.
Complete Profile:
Dr. Jackson Vane basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Emergency Medicine |
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| Provider Name : | Dr. Jackson Vane |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Dr. Jackson Vane 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 : | 3020 Childrens Way
San Diego, CA, 92123-4223
United States |
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| Phone Number : | 858-966-8036 |
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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 : | 1952608580 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 16 Feb, 2011 |
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| Last Updated On : | 15 Dec, 2016 |
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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 Dr. Jackson Vane are as mentioned. Primary taxonomy code for Dr. Jackson Vane, MD is
2080P0204X (Pediatrics Pediatric Emergency Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | A120394 | CA |
| 2080P0204X | Pediatrics Pediatric Emergency Medicine | Yes | RS2014-0568 | NM |
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 : | 3020 Childrens Way, Mc5075
San Diego, CA, 92123-4223
United States |
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| Phone Number : | 858-966-8036 |
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Business Location:
Patients can refer following map for directions to
Dr. Jackson Vane practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.