DR. ANNA LETICIA JACKSON


Address: 3626 Ruffin Rd, San Diego, CA 92123-1810
Phone: 8585659666

DR. ANNA LETICIA JACKSON (NPI# 1922426998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1922426998
Entity Type Individual
Full Name DR. ANNA LETICIA JACKSON
Other Name DR. ANNA LETICIA MORENO-GALVAN
Credential M.D.
Practice Address 3626 Ruffin Rd
San Diego
CA 92123-1810
Practice Telephone 8585659666
Practice Fax Number 8585659441
Mailing Telephone 8585659666
Mailing Fax Number 8585659441
Enumeration Date 2014-04-06
Last Update Date 2020-10-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207L00000X Anesthesiology A141858 CA Allopathic & Osteopathic Physicians
Y 207LP3000X Anesthesiology
Specialization: Pediatric Anesthesiology
A141858 CA Allopathic & Osteopathic Physicians

Other Providers ANNA JACKSON

NPI Name Taxonomy Address Enumeration
1023477247 Anna Jackson Licensed Practical Nurse 630 Hallie Ave, Akron, OH 44305-2606 2016-02-16
1801439542 Anna Pavlovna Jackson Nurse Practitioner 13005 Southern Blvd, Medical Mall 2, Suite 224, Loxahatchee, FL 33470 2019-10-25
1891342804 Anna Jackson Counselor 112 N Broad St, Philadelphia, PA 19102-1512 2019-08-23
1689236804 Anna Monica Jackson Technician, Other 7108 S Kanner Hwy, Stuart, FL 34997-7462 2019-07-09
1285120204 Anna Drew Jackson Pharmacist 1310 24th Ave S, Nashville, TN 37212-2637 2018-07-02
1295183770 Anna Jackson Physician Assistant 7780 S Broadway Ste 350, Littleton, CO 80122-2641 2016-05-25
1952798787 Anna Loyal Jackson Psychiatry & Neurology 800 E 70th St, Savannah, GA 31405-4813 2015-04-20
1164833042 Anna Jackson Speech-Language Pathologist 104 Elizabeth St, Ashland City, TN 37015-1101 2014-05-14
1114206232 Anna Elizabeth Jackson Massage Therapist 309 Laurel Ave, Tillamook, OR 97141-2313 2011-08-07
1477845725 Anna Elizabeth Jackson Internal Medicine 305 E 161st St, Bronx, NY 10451-3535 2011-05-04

Office Location

Street Address 3626 RUFFIN RD
City SAN DIEGO
State CA
Zip Code 92123-1810

Providers in the same location

NPI Name Taxonomy Address Enumeration
1538151543 Paul Cattafi Anesthesiology 3626 Ruffin Rd, San Diego, CA 92123 2005-08-16
1083069629 Dianne Bach Anesthesiology 3626 Ruffin Rd, San Diego, CA 92123-1810 2016-05-02
1689037632 Thu Nguyen Anesthesiology 3626 Ruffin Rd, San Diego, CA 92123-1810 2016-03-29
1740642776 Riley Andrew Garrett Anesthesiology 3626 Ruffin Rd, San Diego, CA 92123-1810 2016-03-29
1962864975 Stephen Shumpert Anesthesiology 3626 Ruffin Rd, San Diego, CA 92123-1810 2016-03-28
1578925756 Harrison To Anesthesiology 3626 Ruffin Rd, San Diego, CA 92123-1810 2016-03-25
1306208095 Chirag Desai Anesthesiology 3626 Ruffin Rd, San Diego, CA 92123-1810 2016-03-22
1710344452 Sona Doshi Anesthesiology 3626 Ruffin Rd, San Diego, CA 92123-1810 2016-01-26
1205214723 Liora Yehushua Anesthesiology 3626 Ruffin Rd, San Diego, CA 92123-1810 2015-05-16
1396132452 Alex Taborek Anesthesiology 3626 Ruffin Rd, San Diego, CA 92123-1810 2015-04-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669087326 Corina Lozano Manzo Registered Nurse 7436 Mission Center Road, San Diego, CA 92123 2020-09-10
1831703537 Shannon Leigh Doolittle Audiologist 3020 Children's Way Mc5010, San Diego, CA 92123 2020-09-01
1861014359 Ha Thanh Truong Pharmacist Rezcare, 3821 Calle Fortunada, San Diego, CA 92123 2020-05-07
1023667136 Brittany Meyer Physical Therapist 3020 Children's Waymc5068, San Diego, CA 92123 2019-09-11
1598313272 Ryan Edward Shaw Marriage & Family Therapist 8910 Clairmont Mesa Blvd, San Diego, CA 92123 2019-08-27
1528611910 Tanisha C Fulcher Marriage & Family Therapist 8825 Aero Dr., Ste 315, San Diago, CA 92123 2019-07-24
1245795665 Robin James Pekin Marriage & Family Therapist 4450 Kearny Villa Rd, #116, San Diego, CA 92123 2019-02-11
1174093728 Karen Vences Counselor 8755 Aero Dr Suite 230, San Diego, CA 92123 2018-11-27
1255808465 Natasha Herrera Counselor 2801 Meadow Lark Dr, San Diego, San Diego, CA 92123 2018-10-25
1407321987 Maneka Elikewela Behavior Technician 3934 Murphy Canyon Rd, Ste B202, San Diego, CA 92123 2018-10-10
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Taxonomy Information

Taxonomy Code 207LP3000X
Grouping Allopathic & Osteopathic Physicians
Classification Anesthesiology
Specialization Pediatric Anesthesiology

Taxonomy Definition

An anesthesiologist who has had additional skill and experience in and is primarily concerned with the anesthesia, sedation, and pain management needs of infants and children. A pediatric anesthesiologist generally provides services including the evaluation of complex medical problems in infants and children when surgery is necessary, planning and care for children before and after surgery, pain control, anesthesia and sedation for any procedures out of the operating room such as MRI, CT scan, and radiation therapy.
Notes: Source: American Academy of Pediatrics, www.aap.org [7/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1649880147 Pediatric Office Anesthesia Specialists Anesthesiology 12625 High Bluff Dr Ste 301, San Diego, CA 92130-2054 2020-08-09
1447516414 Claire Sampankanpanich Soria Anesthesiology 200 W Arbor Dr, Mc 8770, San Diego, CA 92103-9000 2012-04-04
1538431382 Matthew Scott Wilder Anesthesiology 3020 Childrens Way, San Diego, CA 92123-4223 2012-02-08
1063685477 Susanna Janes Shaw Anesthesiology 200 W Arbor Dr, San Diego, CA 92103-9000 2008-04-07

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1457752198 Mvp Pediatric and Urgent Care A Professional Corporation Anesthesiology 18555 Ventura Blvd Ste B, Tarzana, CA 91356-4101 2014-09-12
1518207471 Robert W Wong Anesthesiology 1121 New Ave, Alhambra, CA 91801-4915 2013-02-28
1609145549 Joanna Treder Kawecki Anesthesiology 13053 Maxwell Dr, Tustin, CA 92782-0919 2011-12-21
1891940078 Susan Firestone Anesthesiology 4650 W Sunset Blvd # 3, Los Angeles, CA 90027-6062 2008-12-01
1619918364 Toni Denise Daniels Anesthesiology 1430 13th Avenue, Oakland, CA 94606-1912 2006-06-10
1225596422 Certified Anesthesia Consultants, Inc. Anesthesiology 1351 E Spruce Ave Ste 110, Fresno, CA 93720-3342 2019-03-06
1285192617 Alexander R Schmidt Anesthesiology 300 Pasteur Dr, 3rd Floor Mail Code 5640, Stanford, CA 94305 2019-03-05
1104394329 Scott C. Wallace Md Inc Anesthesiology 1415 Ross Ave, El Centro, CA 92243-4306 2018-11-06
1962944074 Dennis Chang Md Pediatric Anesthesia Apc Anesthesiology 215 W Janss Rd, Thousand Oaks, CA 91360-1847 2016-11-07
1225494446 Phillip Richardson Md Inc Anesthesiology 681 S Parker St, Ste 150, Orange, CA 92868-4719 2016-01-04
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Competitor

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City SAN DIEGO
Zip Code 92123

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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