Dr Anna Leticia Jackson, MD | |
3626 Ruffin Rd, San Diego, CA 92123-1810 | |
(858) 565-9666 | |
(858) 565-9441 |
Full Name | Dr Anna Leticia Jackson |
---|---|
Gender | Female |
Speciality | Anesthesiology |
Experience | 10 Years |
Location | 3626 Ruffin Rd, San Diego, California |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922426998 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207LP3000X | Anesthesiology - Pediatric Anesthesiology | A141858 (California) | Primary |
207L00000X | Anesthesiology | A141858 (California) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southern California Permanente Medical Group | 6002729175 | 8172 |
Entity Name | Southern California Permanente Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Entity Name | Anesthesia Service Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053354233 PECOS PAC ID: 1153223219 Enrollment ID: O20040121000450 |
Mailing Address | Practice Location Address |
---|---|
Dr Anna Leticia Jackson, MD 3626 Ruffin Rd, San Diego, CA 92123-1810 Ph: (858) 565-9666 | Dr Anna Leticia Jackson, MD 3626 Ruffin Rd, San Diego, CA 92123-1810 Ph: (858) 565-9666 |
Shawn Raveenth Vedamani, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 800-926-8273 Fax: 888-539-8781 | |
Michael Conrad Weber, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 34800 Bob Wilson Drive, San Diego, CA 92134 Phone: 619-532-6471 | |
Susanna Byrne, D.O. Anesthesiology Medicare: Medicare Enrolled Practice Location: 34800 Bob Wilson Dr, San Diego, CA 92134 Phone: 619-532-6400 | |
Dr. Paige Tsuda, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 800-926-8273 | |
Thomas J. Pietuch, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3626 Ruffin Rd, San Diego, CA 92123 Phone: 858-565-9666 Fax: 858-565-9441 | |
Dr. Ching-rong Cheng, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: Ucsd Medical Center, 200 West Arbor Drive Mc 0801, San Diego, CA 92103 Phone: 619-543-5720 | |
Dr. Jeffrey Koji Sakihara, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3626 Ruffin Rd, San Diego, CA 92123 Phone: 858-565-9666 Fax: 858-565-9441 |