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

Samuel Barrett Jackson, MD

Individual provider Interventional Cardiology Physician · NPI 1689105223

Samuel Barrett Jackson, MD is a Cardiovascular Disease (Cardiology) in Burlingame, California. Graduated from University of California, Geffen School of Medicine in 2017, 9 years ago. Practices with Sutter Bay Medical Foundation, a 3,762-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
9
Trained at
University of California, Geffen School of Medicine
Licensed in
CA
In the registry since
2017
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

1501 Trousdale Dr
Burlingame, CA 94010-4506
Phone: (650) 652-8600
Show map & directions

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

Additional practice locations (2)

  • 757 Westwood Plz Ste 7501, Los Angeles, CA 90095-7417 — (310) 825-6301
  • 200 Ucla Medical Plz Ste 400, Los Angeles, CA 90095-7417 — (310) 206-6232

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence A163124 (CA)
Interventional Cardiology Physician Taxonomy 207RI0011X · Licence A163124 (CA)

Record details

NPI number1689105223
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 24, 2017
Last updated in NPPESSeptember 23, 2025
Certification dateSeptember 23, 2025
Mailing address5767 W Century Blvd Ste 400, Los Angeles, CA 90045-5631

Medicare enrollment

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

Medicare specialtyCARDIOVASCULAR DISEASE (CARDIOLOGY)
Also practisesINTERNAL MEDICINE
Medical schoolUNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE
Graduated 2017 (9 years in practice)
Group practice Sutter Bay Medical Foundation — 3762 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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