Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Richard Anthony Jack, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1306289129

Richard Anthony Jack, MD is a Student in an Organized Health Care Education/Training Program in Tarzana, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2013
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Tarzana, CA

No coordinates on file. Search this address in Google Maps

Additional practice locations (1)

  • 500 University Dr, Hershey, PA 17033-2360 — (917) 405-2405

Specialties & licences

Neonatal-Perinatal Medicine Physician (primary) Taxonomy 2080N0001X · Licence C175889 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1306289129
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 10, 2013
Last updated in NPPESDecember 28, 2022
Certification dateDecember 28, 2022

Other providers in Tarzana