Doctor profile · Federal record
Dr. Samuel Jackson, MD
Cardiovascular Disease Physician (CMS: Cardiovascular Disease (Cardiology)) · Interventional Cardiology Physician · Burlingame, CA
- NPI 1689105223
- Accepts Medicare
- 9 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 3 locations .
- Primary practice
-
1501 Trousdale Dr
Burlingame, CA 940104506
(650) 652-8600 - Additional location
-
200 UCLA Medical Plz Ste 400
Los Angeles, CA 900957417
(310) 206-6232
fax (310) 206-3551 - Additional location
-
757 Westwood Plz Ste 7501
Los Angeles, CA 900957417
(310) 825-6301 - Mailing address
-
5767 W Century Blvd Ste 400
Los Angeles, CA 900455631
Credentials & registration
- NPI registered
- March 2017 — 9 yrs on file
- Profile last updated
- September 23, 2025
- Year of graduation
- 2017 — 9 yrs since
- Specialty taxonomy
- 207RC0000X — NUCC code
- State license (1)
- California #A163124
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1689105223. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$388
Transactions
8
Manufacturers
4
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| ShockWave Medical, INC | 5 | $329.90 | |
| Abbott Laboratories | 1 | $21.90 | |
| Abiomed | 1 | $19.71 | |
| W. L. Gore & Associates, INC. | 1 | $16.83 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
11
Patients
0
Total drug cost
$220
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Atorvastatin Calcium | Generic | 11 | 0 | $220 |
Hospital affiliations
Frequently asked questions
What is Dr. Samuel Jackson's medical specialty?
Dr. Samuel Jackson practices Cardiovascular Disease Physician in Burlingame, CA.
Where does Dr. Samuel Jackson practice?
Dr. Samuel Jackson practices at 1501 Trousdale Dr, Burlingame, CA 940104506. Office phone: 6506528600.
What is Dr. Samuel Jackson's NPI?
Dr. Samuel Jackson's National Provider Identifier (NPI) is 1689105223, issued by NPPES.
Does Dr. Samuel Jackson accept Medicare assignment?
Yes. Dr. Samuel Jackson accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.