Jerome C Hall M D Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

G85854 Issued in CA

Legal business name

JEROME C HALL M D INC

Practice address

3702 Ruffin Road
Suite 101
San Diego, CA 92123

Phone

(619) 326-0610

Fax

(619) 326-0616

NPI assigned

Apr 24, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Jerome C Hall, MD

Title

President

Phone

(858) 467-0610

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1240531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722211200000",
    "number": "1275777914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3702 RUFFIN ROAD, STE 101",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92123",
            "telephone_number": "858-467-0610",
            "fax_number": "858-268-0616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3702 RUFFIN ROAD",
            "address_2": "SUITE 101",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92123",
            "telephone_number": "619-326-0610",
            "fax_number": "619-326-0616"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1550 Pepper Dr Ste F",
            "address_purpose": "LOCATION",
            "city": "El Centro",
            "state": "CA",
            "postal_code": "922434166",
            "country_code": "US",
            "telephone_number": "858-467-0610",
            "fax_number": "858-268-0616",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JEROME C HALL M D INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-24",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "JEROME",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-467-0610",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G85854",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1962425777",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jason A Jergensen, DO
• Nujim A Jerjees, M.D
• Lori Mildred Jerman, LMFT
• Danielle Jernigan
• Jerome a Bannister DDS Inc
• Jerome S Litvinoff MD a Medical Corporation
• John Robert Jerome, DDS
• Nicholas Joseph Jerrard, MD
• Demetrius Jerrell, SUDRC
• Jerrold Glassman,.M.D., a Medical Corporation

• Specialist in San Diego, CA
• Providers in San Diego, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; 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.