Individual provider · Type 1 NPI
Jack Robert Stacey Iii, MD
Sports Medicine (Family Medicine) Physician · Solana Beach, CA
Practice location
421 N Highway 101
Solana Beach, CA 92075-1131
Fax (833) 346-0376
Mailing address
3865 Hibiscus Cir
Carlsbad, CA 92008-3380
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Sports Medicine (Family Medicine) Physician Primary | 207QS0010X | A201262 (CA) |
Sports Medicine (Family Medicine) Physician: A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomecha…
2 other providers at this address
About NPI 1700317591
Jack Robert Stacey Iii, MD's National Provider Identifier is 1700317591, issued on Mar 23, 2017. The primary taxonomy on file is Sports Medicine (Family Medicine) Physician (207QS0010X), and the practice location is in Solana Beach, CA. The record was last updated on Aug 27, 2026.