Jeremy Robert Thacker, RN - Registered Nurse in Escondido, CA

Jeremy Robert Thacker, RN is a Registered Nurse - Critical Care Medicine based in Escondido, California. Jeremy Robert Thacker is licensed to practice in California (license number 95118366) and his current practice location is 2185 Citracado Pkwy, Escondido, California. He can be reached at his office (for appointments etc.) via phone at (442) 281-5000.

NPI number for Jeremy Robert Thacker is 1104713163 and his current mailing address is 445 Los Arbolitos Blvd, Oceanside, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1104713163.

Contact Information

Jeremy Robert Thacker, RN
2185 Citracado Pkwy,
Escondido, CA 92029-4159
(442) 281-5000
Not Available

Map and Direction




Provider's Profile

Full NameJeremy Robert Thacker
GenderMale
SpecialityRegistered Nurse - Critical Care Medicine
Location2185 Citracado Pkwy, Escondido, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1104713163
  • Provider Enumeration Date: 06/23/2025
  • Last Update Date: 06/23/2025

Medical Identifiers

Medical identifiers for Jeremy Robert Thacker such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104713163NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WC0200XRegistered Nurse - Critical Care Medicine 95118366 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jeremy Robert Thacker is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jeremy Robert Thacker, RN
445 Los Arbolitos Blvd,
Oceanside, CA 92058-1529

Ph: (808) 208-2057
Jeremy Robert Thacker, RN
2185 Citracado Pkwy,
Escondido, CA 92029-4159

Ph: (442) 281-5000

Reviews and Comments


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