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

Tara Jackson Glenn, MD

Individual provider Pediatrics Physician · NPI 1992060974

Tara Jackson Glenn, MD is a Pediatrics Physician in LA Jolla, California. Works from 3 locations. Licensed in California and Ohio.

Licensed in
CA, OH
In the registry since
2012
Specialties on file
3
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

9300 Campus Point Dr
LA Jolla, CA 92037-1300
Phone: (858) 249-5800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 3010 Childrens Way, San Diego, CA 92123-4223 — (858) 966-5818
  • 11100 Euclid Ave, Cleveland, OH 44106-1716 — (216) 844-7700

Specialties & licences

Neonatal-Perinatal Medicine Physician (primary) Taxonomy 2080N0001X · Licence A170207 (CA)
Pediatrics Physician Taxonomy 208000000X · Licence A170207 (CA)
Pediatrics Physician Taxonomy 208000000X · Licence 35-126046 (OH)

Record details

NPI number1992060974
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 6, 2012
Last updated in NPPESApril 8, 2021
Certification dateApril 8, 2021
Mailing address3020 Childrens Way # Mc5003, San Diego, CA 92123-4223

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