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Geoffrey Alan Jackman

Pediatric Emergency Doctor

3020 Children's Way
San Diego , California 92123

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Geoffrey Alan Jackman

Pediatric Emergency Doctor

3020 Children's Way
San Diego , California 92123

(858) 309-6300

Write a Review Save Call

Geoffrey Alan Jackman

Pediatric Emergency Doctor

3020 Children's Way
San Diego , California 92123

(858) 309-6300 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Pediatric Emergency Doctor

Languages spoken

  • English

Location

3020 Children's Way San Diego , California 92123

First Address

  • Geoffrey Alan Jackman
  • 3020 Childrens Way # Mc5003
  • San Diego, CA
  • Zip : 92123-4223
  • Phone : (858) 309-6300

Second Address

  • Geoffrey Alan Jackman
  • 3020 Children's Way
  • San Diego, CA
  • Zip : 92123
  • Phone : (858) 966-8036

Reviews

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FAQs


Where did Geoffrey Alan Jackman attend graduate school?

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Where did Geoffrey Alan Jackman do his residency?

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Where did Geoffrey Alan Jackman do his fellowship?

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Is Geoffrey Alan Jackman board certified?

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What type of doctor is Geoffrey Alan Jackman

Pediatric Emergency Doctor

In what state does Geoffrey Alan Jackman practice in?

California

Where is Geoffrey Alan Jackman ’s practice located?

3020 Children's Way , San Diego, California, 92123

What is Geoffrey Alan Jackman ’s gender?

Male

Is Geoffrey Alan Jackman a sole practitioner?

No

Is Geoffrey Alan Jackman accepting new patients?

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What languages does Geoffrey Alan Jackman speak?

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Does Geoffrey Alan Jackman accept insurance?

Yes, Geoffrey Alan Jackman accepts insurance

Does Geoffrey Alan Jackman offers telemedicine?

Geoffrey Alan Jackman has not indicated if he offers telemedicine

What is Geoffrey Alan Jackman ’s professional license number?

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What is Geoffrey Alan Jackman ’s NPI number?

1235210022

Does Geoffrey Alan Jackman have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
N 2080P0204X Pediatric Emergency Doctor 4757219-1205 UT
Y 2080P0204X Pediatric Emergency Doctor C149126 CA

National Provider Identifier

NPI 1235210022
Provider Name Geoffrey Alan Jackman
First Address San Diego, CA 92123-4223
Second Address San Diego, CA 92123
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 18/10/2006
Last Update Date 22/08/2017

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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