DR. JACKSON VANE MD
NPI 1952608580
Pediatrics - Pediatric Emergency Medicine in San Diego, CA
About Dr. Jackson Vane Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JACKSON VANE MD (NPI 1952608580) is an individual pediatric emergency medicine provider in San Diego, California, licensed in New Mexico (RS2014-0568) and active in the NPI registry since February 2011. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Jackson Vane Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
SAN DIEGO, CA 92123
SAN DIEGO, CA 92123
SAN DIEGO, CA 92123
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 Jackson Vane's NPI number?
The NPI number for Jackson Vane is 1952608580. It was assigned to this individual provider in the NPPES registry on February 16, 2011.
Where is Jackson Vane located?
Jackson Vane practices at 3020 Childrens Way, San Diego, CA 92123. The listed phone number is (858) 966-8036.
What is Jackson Vane's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.
Is Jackson Vane enrolled in Medicare?
Yes. Jackson Vane is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Jackson Vane was last updated on December 15, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
