1. Home
  2. Directory
  3. California
  4. Mount Shasta
  5. Pediatrics
  6. NPI Profile

JACK LEROY HALING MD
NPI 1861482002
Pediatrics in Mount Shasta, CA

Active since October 27, 2005
824 PINE ST, MOUNT SHASTA, CA 96067(530) 926-4528(530) 926-5070 Get Directions Write a Review

NPPES record last updated: March 21, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jack Leroy Haling Md NPPES

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

JACK LEROY HALING MD (NPI 1861482002) is an individual pediatrics provider in Mount Shasta, California, licensed in California (C28244) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1861482002
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameJACK LEROY HALINGCredential: MD
Location Address824 PINE STMount Shasta, CA 96067-2137
Mailing AddressPo Box 339Mount Shasta, CA 96067-0339 · (530) 926-5613 · Fax (530) 926-8798
Phone(530) 926-4528
Fax(530) 926-5070
Sole ProprietorNo
Enumeration DateOctober 27, 2005
Last NPPES UpdateMarch 21, 2012
✔ NPI 1861482002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · C28244
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
824 PINE ST, Mount Shasta, CA 96067
Open in Google Maps ↗

Other Identifiers 3

Medicare ID-Type Unspecified00C282440CA
Medicaid00C282440CA
Medicare UPINC64030

Other Providers at the Same Location NPPES 6

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

JULIA JONES LAC., DIPL.OM
Acupuncturist
824 PINE ST
MOUNT SHASTA, CA 96067
Siskiyou County (530) 964-2389
MCCLOUD HEALTHCARE CLINIC, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
824 PINE ST
MOUNT SHASTA, CA 96067
Siskiyou County (530) 926-4528
LESLIE J ANDREWS MD
Obstetrics & Gynecology
824 PINE ST
MOUNT SHASTA, CA 96067
Siskiyou County (530) 926-4528
DAVID GLENN HOLST MD
Family Medicine
824 PINE ST
MOUNT SHASTA, CA 96067
Siskiyou County (530) 926-4528
JUDITH KAY CRABTREE NP
Nurse Practitioner
824 PINE ST
MT SHASTA, CA 96067
Siskiyou County (530) 926-4528
ELLIOTT PIERCE WAYBURN-BEST LVN
Licensed Vocational Nurse
824 PINE ST
MOUNT SHASTA, CA 96067
Siskiyou County (530) 926-4528

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 Jack Haling's NPI number?

The NPI number for Jack Haling is 1861482002. It was assigned to this individual provider in the NPPES registry on October 27, 2005.

Where is Jack Haling located?

Jack Haling practices at 824 Pine St, Mount Shasta, CA 96067. The listed phone number is (530) 926-4528.

What is Jack Haling's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Jack Haling was last updated on March 21, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.