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

Jack Martin Anderson, MD

Individual provider Pediatrics Physician · NPI 1609948223

Jack Martin Anderson, MD is a Pediatrics Physician in San Diego, California. Licensed in California. Registered with an NPI since 2006.

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

3003 Health Center Dr
San Diego, CA 92123-2700
Phone: (858) 939-4185
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neonatal-Perinatal Medicine Physician (primary) Taxonomy 2080N0001X · Licence G60266 (CA)
Pediatrics Physician Taxonomy 208000000X · Licence G60266 (CA)

Record details

NPI number1609948223
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 15, 2006
Last updated in NPPESDecember 11, 2013

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