IndividualActive
Jackson Vane, MD
NPI 1952608580 · Pediatric Emergency Medicine (Pediatrics) Physician · San Diego, CA
Provider details
- NPI number
- 1952608580
- Entity type
- Individual
- Primary specialty
- Pediatric Emergency Medicine (Pediatrics) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- A120394 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
3020 Childrens Way
San Diego, CA 92123-4223
Phone: (858) 966-8036
Approximate (ZIP-level) locationGet directions
Mailing address
3020 Childrens Way
San Diego, CA 92123-4223
Registry dates
- Enumerated
- 2011-02-16
- Last updated
- 2016-12-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.