Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JACK ROBERT STACEY III, M.D.
ActiveDR. JACK ROBERT STACEY III, M.D. is a Sports Medicine healthcare provider located in OCEANSIDE, California. NPI 1700317591 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine · OCEANSIDE, CA
Registration Details
- NPI Number
- 1700317591
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 23, 2017 (9.3506427858141 yrs)
- Last Updated
- Feb 6, 2025
- License
-
0101271348 (VA)
Practice Information
- Address
-
200 MERCY CIRCLEOCEANSIDE, CA, 92055Browse CA providers · Browse ZIP 92055
- Phone
- 7607250456
- Primary Specialty
-
Sports Medicine
207QS0010X
Other Sports Medicine Providers in OCEANSIDE, CA
| Name | Credential | NPI |
|---|---|---|
| MR. RONALD SCOTT COHEN | M.D | 1073588786 |
| STEVE CHRISTENSEN | D.O. | 1780988808 |
| CRAIG JAMES VANTASSEL | D.O. | 1134562739 |
| TIMOTHY JUSTIN TAYLOR | D.O. | 1437546512 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.