Individual provider · Type 1 NPI

Samuel Barrett Jackson, MD

Cardiovascular Disease Physician · Burlingame, CA

NPI number 1689105223 Active

Practice location

1501 Trousdale Dr
Burlingame, CA 94010-4506

Mailing address

5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631

Other practice locations

  • 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 and licenses

TaxonomyCodeLicense
Interventional Cardiology Physician 207RI0011XA163124 (CA)
Cardiovascular Disease Physician Primary 207RC0000XA163124 (CA)

Cardiovascular Disease Physician: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

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About NPI 1689105223

Samuel Barrett Jackson, MD's National Provider Identifier is 1689105223, issued on Mar 24, 2017. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in Burlingame, CA. The record was last updated on Sep 23, 2025.