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

Ethan C Jackson, MD

Individual provider Pediatric Anesthesiology Physician · NPI 1588684641

Ethan C Jackson, MD is an Anesthesiology in Stanford, California. Graduated from Columbia University College of Physicians and Surgeons in 1995, 31 years ago. Practices with Stanford Health Care, a 3,085-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
31
Trained at
Columbia University College of Physicians and Surgeons
Licensed in
CA
In the registry since
2006
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

300 Pasteur Dr
Stanford, CA 94305-2200
Phone: (650) 723-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence A62485 (CA)
Pediatric Anesthesiology Physician Taxonomy 207LP3000X · Licence A62485 (CA)

Record details

NPI number1588684641
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 20, 2006
Last updated in NPPESApril 11, 2024
Certification dateApril 11, 2024
Mailing address1804 Embarcadero Rd, Ste 100, Palo Alto, CA 94303-3341

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolCOLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Graduated 1995 (31 years in practice)
Group practice Stanford Health Care — 3085 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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