Jesse Bandle, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

A112204 Issued in CA

Practice address

Comnavsurfpac, FST-5
3455 Senn St. BLDG 75
San Diego, CA 92136

Phone

(224) 616-0232

NPI assigned

Jun 18, 2008

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

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": "1213747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1235390667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34800 BOB WILSON DR.",
            "address_2": "BUILDING 3, FOURTH FLOOR (GENERAL SUERGERY)",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921343400",
            "telephone_number": "619-532-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "COMNAVSURFPAC, FST-5",
            "address_2": "3455 SENN ST. BLDG 75",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92136",
            "telephone_number": "224-616-0232"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "34800 Bob Wilson Dr.",
            "address_2": "Building 3, Fourth Floor (General Suergery)",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921343400",
            "country_code": "US",
            "telephone_number": "619-532-7575",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BANDLE",
        "first_name": "JESSE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-18",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A112204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Elizabeth Bancroft, MD
• Lindsay Bancroft, DDS
• Timothy David Bancroft, MD
• Gisela Bandera
• Ashwini Bandi
• Serena Bandtell
• Nancy Ann Bandy, MOT, OTR/L
• Sarah Merlene Bandy, BCBA
• Leticia Isabel Bane
• Kavon Banejad

• Surgery Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.