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

Gregory Scott Jack, MD

Individual provider Urology Physician · NPI 1447503826

Gregory Scott Jack, MD is an Urology Physician in Santa Monica, California. Licensed in California. Registered with an NPI since 2012.

Licensed in
CA
In the registry since
2012
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1260 15th St 1200
Santa Monica, CA 90404-1135
Phone: (310) 794-7700
Fax: (310) 939-5302
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence A83253 (CA)

Record details

NPI number1447503826
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 22, 2012
Last updated in NPPESJanuary 30, 2013

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