NPIMap

Organization Active NPI

Jerry Rand Apmc

  • Infusion Therapy Clinic/Center
  • San Diego, CA
National Provider Identifier
1427140367
Registry record updated Nov 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X
License
G25749 Issued in CA
Legal business name
JERRY RAND APMC
Practice address
4241 Jutland Dr
Suite 202
San Diego, CA 92117-3663
Phone
(858) 274-6633
Fax
(858) 274-6643
NPI assigned
Sep 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2007

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

Authorized official

Name
Dr. Jerry Neil Rand, M.D.
Title
Medical Director
Phone
(858) 274-6633

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Infusion Therapy Clinic/Center 261QI0500X G25749 CA Primary
Pain Clinic/Center 261QP3300X BR7775868 CA
Substance Abuse Rehabilitation Facility 324500000X 370055AP CA

Addresses

Primary practice location

4241 Jutland Dr
Suite 202
San Diego, CA 92117-3663

Mailing address

4241 Jutland Dr
Suite 202
San Diego, CA 92117-3663
Phone (858) 274-6633

Other identifiers 1

IdentifierTypeStateIssuer
G25749OtherCASTATE ID

Other names 1

  • Rand Institution for Recovery Doing business as

National Provider Directory

National Provider Directory

Locations

4241 Jutland Dr
Ste 202
San Diego, CA 92117
Phone (858) 263-7651

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196294400000",
    "number": "1427140367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4241 JUTLAND DR",
            "address_2": "SUITE 202",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921173663",
            "telephone_number": "858-274-6633",
            "fax_number": "858-274-6643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4241 JUTLAND DR",
            "address_2": "SUITE 202",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921173663",
            "telephone_number": "858-274-6633",
            "fax_number": "858-274-6643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERRY RAND APMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2007-11-29",
        "status": "A",
        "authorized_official_last_name": "RAND",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "NEIL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "858-274-6633",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": "CA",
            "license": "G25749",
            "primary": true
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "CA",
            "license": "BR7775868",
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "370055AP",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE ID",
            "identifier": "G25749",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rand Institution for Recovery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2007; 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.