Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jackson Vane, MD

Individual provider Pediatrics Physician · NPI 1952608580

Dr. Jackson Vane, MD is a Pediatrics Physician in San Diego, California. Licensed in California and New Mexico. Registered with an NPI since 2011.

Licensed in
CA, NM
In the registry since
2011
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3020 Childrens Way
San Diego, CA 92123-4223
Phone: (858) 966-8036
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Emergency Medicine (Pediatrics) Physician (primary) Taxonomy 2080P0204X · Licence RS2014-0568 (NM)
Pediatrics Physician Taxonomy 208000000X · Licence A120394 (CA)

Record details

NPI number1952608580
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 16, 2011
Last updated in NPPESDecember 15, 2016

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