DR. JACK ROBERT STACEY III M.D.
NPI 1700317591
Family Medicine - Sports Medicine in Oceanside, CA
NPI Status: Active since March 23, 2017
Contact Information
200 MERCY CIRCLE
OCEANSIDE, CA
ZIP 92055
Phone: (760) 725-0456
- Individual
- Male
- Family Medicine
- Sports Medicine
About JACK STACEY
This page provides the complete NPI Profile along with additional information for Jack Stacey, a primary care provider established in Oceanside, California with a medical specialization in Family Medicine, focusing in sports medicine . The healthcare provider is registered in the NPI registry with number 1700317591 assigned on March 2017. The practitioner's primary taxonomy code is 207QS0010X with license number 0101271348 (VA). The provider is registered as an individual and his NPI record was last updated one year ago.
- NPI
- 1700317591
- Provider Name
- DR. JACK ROBERT STACEY III M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 200 MERCY CIRCLE OCEANSIDE, CA 92055
- Location Phone
- (760) 725-0456
- Mailing Address
- 2616 CABRILLO PL CARLSBAD, CA 92008
- Mailing Phone
- (321) 278-3667
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-23-2017
- Last Update Date
- 02-06-2025
- Code Navigator
A primary care provider (PCP) like Jack Stacey sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Family Medicine Sports Medicine
- Taxonomy Code
- 207QS0010X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 0101271348
- License State
- VA
- Taxonomy Description
- A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1700317591, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 59 is 60. The difference is the calculated check digit.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1700317591, enumerated as an "individual" on March 23, 2017.
The provider is located at 200 MERCY CIRCLE OCEANSIDE, CA 92055 and the phone number is (760) 725-0456.
Family Medicine with taxonomy code 207QS0010X and a focus in Sports Medicine.
