Active NPI
Jerome Michael McDonald, MD
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Stockton, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- C52651
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
- St Joseph'S Medical Center of Stockton
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary artery bypass graft (CABG) | 18 |
| Pacemaker insertion or repair | 1-10 |
| Leg revascularization (restoring blood flow) | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C52651 | CA | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The DCH Health Care Authority | Current | Accepting new patients | |
| Sentara RMH Medical Center | Current | 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 | Current | Accepting new patients | |
| The DCH Healthcare Authority | Current | Accepting new patients | |
| Druid City Physician Services, LLC | Current | Accepting new patients | |
| Dignity Health Medical Foundation | Current | Accepting new patients | |
| Hospital Authority of the City of Bainbridge and Decatur County | Past | Accepting new patients | |
| Sentara RMH Medical Center | Past | 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
- jmcdonald22107@tallahasseememorial.direct-ci.com
- 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.
-
- Maternal & Fetal Medicine Physician
- Tuscaloosa, AL
- NPI 1356911564
-
- General Acute Care Hospital
- Tuscaloosa, AL
- NPI 1841394418
-
- Multi-Specialty Clinic/Center
- Sacramento, CA
- NPI 1700803418
-
- Multi-Specialty Clinic/Center
- Redding, CA
- NPI 1912288432
-
- Hematology & Oncology Physician
- Tuscaloosa, AL
- NPI 1699019539
-
- Interventional Cardiology Physician
- Tuscaloosa, AL
- NPI 1619760162
-
- General Practice Physician
- Harrisonburg, VA
- NPI 1417027608
-
- General Acute Care Hospital
- Tallahassee, FL
- NPI 1437177664
-
- Clinic/Center
- Tuscaloosa, AL
- NPI 1306613211
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Tuscaloosa, AL
- NPI 1619326857
-
- Multi-Specialty Clinic/Center
- Bainbridge, GA
- NPI 1053388256
-
- General Acute Care Hospital
- Harrisonburg, VA
- NPI 1780694372
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Stockton, CA
- NPI 1528190931
-
- General Acute Care Hospital
- Tuscaloosa, AL
- NPI 1841394418
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.