JON ZACKARY MD
NPI 1366869398
Student in an Organized Health Care Education/Training Program in San Diego, CA

Q: What is Jon Zackary's NPI number?

The NPI number for Jon Zackary is 1366869398. It was assigned to this individual provider in the NPPES registry on March 27, 2014.

Q: What is Jon Zackary's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Jon Zackary was last updated on November 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 27, 2014PECOS Enrolled

7060 CLAIREMONT MESA BLVD, SAN DIEGO, CA 92111(619) 528-5164 Get Directions Write a Review

NPPES record last updated: November 29, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 29, 2021, Feb 5, 2016 (2 updates tracked since 2016).

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About Jon Zackary Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JON ZACKARY MD (NPI 1366869398) is an individual student in an organized health care education/training program in San Diego, California, licensed in California (138047) and active in the NPI registry since March 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366869398

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameJON ZACKARYCredential: MD

Location Address7060 CLAIREMONT MESA BLVDSan Diego, CA 92111-1003

Mailing Address7060 Clairemont Mesa BlvdSan Diego, CA 92111-1003 · (619) 528-5164

Phone(619) 528-5164

Sole ProprietorNo

Enumeration DateMarch 27, 2014

Last NPPES UpdateNovember 29, 20212 updates tracked since enumeration

✔ NPI 1366869398 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in CA · 138047

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

7060 CLAIREMONT MESA BLVD, San Diego, CA 92111

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jon Zackary Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HEATHER FIONA LEE MD

Student in an Organized Health Care Education/Training Program

7060 CLAIREMONT MESA BLVD
SAN DIEGO, CA 92111

San Diego County (619) 528-5000

HAILEE VAN M.D.

Student in an Organized Health Care Education/Training Program

7060 CLAIREMONT MESA BLVD
SAN DIEGO, CA 92111

San Diego County (714) 386-2653

MS. GAIL BETH COHEN

Pharmacist

7060 CLAIREMONT MESA BLVD, FIRST FLOOR OUTPATIENT PHARMACY
SAN DIEGO, CA 92111

San Diego County (858) 573-5301

TU-PHUONG THI DOMPOR-TRAN MD

Family Medicine

7060 CLAIREMONT MESA BLVD
SAN DIEGO, CA 92111

San Diego County (619) 719-0422

DR. TRACY KAM D.O.

Family Medicine

7060 CLAIREMONT MESA BLVD
SAN DIEGO, CA 92111

San Diego County (858) 573-6401

AARON GEOFFREY EDELSTEIN M.D.

Family Medicine

7060 CLAIREMONT MESA BLVD, 6TH FLOOR
SAN DIEGO, CA 92111

San Diego County (858) 573-6401

FLAVIA SALEH M.D.

Family Medicine

7060 CLAIREMONT MESA BLVD
SAN DIEGO, CA 92111

San Diego County (800) 290-5000

JAJA TENG PHARM.D

Pharmacist

7060 CLAIREMONT MESA BLVD, 1ST FLOOR OUTPATIENT PHARMACY
SAN DIEGO, CA 92111

San Diego County (858) 573-5301

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jon Zackary's NPI number?

The NPI number for Jon Zackary is 1366869398. It was assigned to this individual provider in the NPPES registry on March 27, 2014.

Where is Jon Zackary located?

Jon Zackary practices at 7060 Clairemont Mesa Blvd, San Diego, CA 92111. The listed phone number is (619) 528-5164.

What is Jon Zackary's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jon Zackary enrolled in Medicare?

Yes. Jon Zackary is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jon Zackary was last updated on November 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.