Individual provider Active NPI

Jerome Michael McDonald, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Stockton, CA
National Provider Identifier
1740253301
Registry record updated Sep 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
C52651 Issued in CA
Practice address
1901 N California St
Stockton, CA 95204-6005
Phone
(209) 946-6800
Fax
(209) 946-6805
NPI assigned
Feb 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X C52651 CA Primary

Addresses

Primary practice location

1901 N California St
Stockton, CA 95204-6005

Mailing address

3400 Data Dr
Attention: Credentialing and Payer Enrollment Dept
Rancho Cordova, CA 95670

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251125002038 AL Practitioner - Thoracic Surgery 2466550884 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Thoracic Surgery
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Druid City Physician Services LLCGroup PAC ID 1759776107, 17 clinicians

Practice addresses (Care Compare)

701 University Blvd E
Suite 400
Tuscaloosa, AL 35401-7428
Phone (205) 752-0694

Hospital & facility affiliations

  • DCH Regional Medical Center Hospital, Tuscaloosa, AL, CCN 010092
  • St Joseph'S Medical Center of Stockton Hospital, Stockton, CA, CCN 050084

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)18
Pacemaker insertion or repair1-10
Leg revascularization (restoring blood flow)1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C52651CAMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The DCH Health Care Authority CurrentSince Nov 25, 2025 Accepting new patients
Sentara RMH Medical Center CurrentSince Jun 4, 2013 Accepting new patients
West Alabama Palliative Care Service LLC Current Accepting new patients
Tallahassee Memorial Healthcare Inc Current Accepting new patients
DCH Healthcare Authority Current Accepting new patients
Dignity Health Medical Foundation CurrentSince Jan 26, 2025 Accepting new patients
The DCH Healthcare Authority CurrentSince Nov 25, 2025 Accepting new patients
Druid City Physician Services, LLC CurrentSince Jan 1, 2026 Accepting new patients
Dignity Health Medical Foundation CurrentSince Jan 26, 2025 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients
Sentara RMH Medical Center PastSince Jun 4, 2013 Accepting new patients

Locations

1653 Temple Ave N
Fayette, AL 35555
Phone (205) 759-7063

2700 Hospital Dr
Northport, AL 35476
Phone (205) 333-4500

701 University Blvd E
Ste 400
Tuscaloosa, AL 35401
Phone (205) 752-0694

809 University Blvd E
Tuscaloosa, AL 35401
Phone (205) 333-4661

701 University Blvd E
Ste 807
Tuscaloosa, AL 35401
Phone (205) 333-4528

3901 Greensboro Ave
Ste A
Tuscaloosa, AL 35405
Phone (205) 759-6165

3400 Data Dr
Rncho Cordova, CA 95670
Phone (916) 379-2726

1901 N California St
Stockton, CA 95204
Phone (209) 946-6800

1300 Medical Dr
Tallahassee, FL 32308
Phone (850) 216-0190

1607 Saint James Ct
Ste 1
Tallahassee, FL 32308
Phone (850) 431-7021

1300 Miccosukee Rd
Tallahassee, FL 32308
Phone (850) 431-1155

1931 Medical Ave
Harrisonburg, VA 22801
Phone (540) 564-5400

2006 Health Campus Dr
Ste 300
Rockingham, VA 22801
Phone (540) 689-5400

2006 Health Campus Dr
#H
Rockingham, VA 22801
Phone (540) 689-5555

42 Lambert St
Ste 121
Staunton, VA 24401
Phone (540) 564-7094

Interoperability endpoints

  • Direct secure messaging: jmcdonald22107@tallahasseememorial.direct-ci.com
  • Direct secure messaging: jerome.mcdonald@hca5.eclinicaldirectplus.com

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758844800000",
    "number": "1740253301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 DATA DR",
            "address_2": "ATTENTION: CREDENTIALING AND PAYER ENROLLMENT DEPT",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "95670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 N CALIFORNIA ST",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952046005",
            "telephone_number": "209-946-6800",
            "fax_number": "209-946-6805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "JEROME",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-13",
        "last_updated": "2025-09-26",
        "certification_date": "2025-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "CA",
            "license": "C52651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

Verify at the official NPI Registry.