Jerry W Nelson, M.D.

Primary specialty

Forensic Pathology PhysicianTaxonomy code 207ZF0201X

License

A21897 Issued in CA

Practice address

2111 E Dakota Ave
Fresno, CA 93726-4805

Phone

(559) 459-1845

NPI assigned

Mar 19, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1033234307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2111 E DAKOTA AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937264805",
            "telephone_number": "559-459-1845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 E DAKOTA AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937264805",
            "telephone_number": "559-459-1845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "JERRY",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-19",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZF0201X",
            "taxonomy_group": "",
            "desc": "Pathology, Forensic Pathology",
            "state": "CA",
            "license": "A21897",
            "primary": true
        },
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "CA",
            "license": "A21897",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A218970",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dione Nelson, CADC II
• Etroy Nelson
• Gretchen Nelson, FNP-C
• Janet Louise Nelson, CAS II
• Jennifer Nelson
• John R Nelson, MD
• Kayleigh K Nelson
• Kimberly Nelson
• Laura A Nelson, LSCSW
• Laura Marie Nelson

• Forensic Pathology Physician in Fresno, CA
• Providers in Fresno, CA by specialty
• Forensic Pathology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.