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

Jon Zackary, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1366869398

Jon Zackary, MD is a Student in an Organized Health Care Education/Training Program in San Diego, California. Licensed in California. Registered with an NPI since 2014.

Licensed in
CA
In the registry since
2014
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

7060 Clairemont Mesa Blvd
San Diego, CA 92111-1003
Phone: (619) 528-5164
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence 138047 (CA)

Record details

NPI number1366869398
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 27, 2014
Last updated in NPPESNovember 29, 2021

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