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GREGORY SCOTT JACK M.D.
NPI 1447503826
Urology in Santa Monica, CA

Active since October 22, 2012
1260 15TH ST, 1200, SANTA MONICA, CA 90404(310) 794-7700(310) 939-5302 Get Directions Write a Review

NPPES record last updated: January 30, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gregory Scott Jack M.d. NPPES

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

GREGORY SCOTT JACK M.D. (NPI 1447503826) is an individual urology provider in Santa Monica, California, licensed in California (A83253) and active in the NPI registry since October 2012.

NPPES Registry Identity

NPI1447503826
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameGREGORY SCOTT JACKCredential: M.D.
Location Address1260 15TH ST, 1200Santa Monica, CA 90404-1135
Mailing Address200 Medical Plz, 140Los Angeles, CA 90095-0001 · (310) 825-1172 · Fax (310) 794-0987
Phone(310) 794-7700
Fax(310) 939-5302
Sole ProprietorNo
Enumeration DateOctober 22, 2012
Last NPPES UpdateJanuary 30, 2013
✔ NPI 1447503826 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in CA · A83253
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
1260 15TH ST, Santa Monica, CA 90404
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Other Identifiers 2

Medicare PINGU156ZCA
Medicaid1447503826CA

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.

DAVID KOSHKI DDS
Dentist (General Practice)
1260 15TH ST
SANTA MONICA, CA 90404
Los Angeles County (310) 395-1261
SANTA MONICA BAY AREA PHYSICIANS
Internal Medicine
1260 15TH ST, 1501
SANTA MONICA, CA 90404
Los Angeles County (310) 656-1700
RONALD W STRAHAN MD
Specialist
1260 15TH ST, SUITE 600
SANTA MONICA, CA 90404
Los Angeles County (310) 394-0500
COSMETIC SURGERY CENTER OF SANTA MONICA A MEDICAL CORP
Clinic/Center (Ambulatory Surgical)
1260 15TH ST, SUITE 1401
SANTA MONICA, CA 90404
Los Angeles County (310) 434-2495
SANTA MONICA PODIATRY GROUP, INC.
Podiatrist (Primary Podiatric Medicine)
1260 15TH ST, SUITE 1014
SANTA MONICA, CA 90404
Los Angeles County (310) 451-1618
MVP COMPOUNDS INC
Pharmacy (Community/Retail Pharmacy)
1260 15TH ST, STE 100
SANTA MONICA, CA 90404
Los Angeles County (310) 393-6767
MANOOCHEHR YASHARI, M.D.
Obstetrics & Gynecology
1260 15TH ST, SUITE 616
SANTA MONICA, CA 90404
Los Angeles County (310) 393-4655
ALEX JOHN-YOUNG HU
Family Medicine
1260 15TH ST
SANTA MONICA, CA 90404
Los Angeles County (424) 259-6000

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 Gregory Jack's NPI number?

The NPI number for Gregory Jack is 1447503826. It was assigned to this individual provider in the NPPES registry on October 22, 2012.

Where is Gregory Jack located?

Gregory Jack practices at 1260 15th St 1200, Santa Monica, CA 90404. The listed phone number is (310) 794-7700.

What is Gregory Jack's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

When was this NPI record last updated?

The NPPES record for Gregory Jack was last updated on January 30, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.