Active NPI
Jerome C Hall, M.D.
- Orthopaedic Surgery Physician
- San Diego, CA
National Provider Identifier
1962425777
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- G85854
- Practice address
- 3702 Ruffin Road #101
San Diego, CA 92123-1812 - Phone
- (619) 326-0610
- NPI assigned
- Jul 25, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | G85854 | CA | Primary |
Addresses
Primary practice location
3702 Ruffin Road #101
San Diego, CA 92123-1812
Mailing address
3702 Ruffin Road #101
San Diego, CA 92123-1812
Phone (619) 326-0610
Other practice location 1
1550 Pepper Dr Ste F
El Centro, CA 92243-4166
Phone (858) 467-0610
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G85854 | CA | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trauma & Stress Recovery, a Medical Group Inc. | Current | Accepting new patients | |
| Scripps Health | Current | Accepting new patients |
Interoperability endpoints
- jhall80436@scrippshlth.medalliesdirect.net
Organizations & group practices 2
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.
-
- General Acute Care Hospital
- San Diego, CA
- NPI 1487928891
-
- Clinical Psychologist
- Oakland, CA
- NPI 1528676269
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689120000000",
"number": "1962425777",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3702 RUFFIN ROAD #101",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921231812",
"telephone_number": "619-326-0610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3702 RUFFIN ROAD #101",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921231812",
"telephone_number": "619-326-0610"
}
],
"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": {
"last_name": "HALL",
"first_name": "JEROME",
"middle_name": "C",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-25",
"last_updated": "2023-07-12",
"certification_date": "2023-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "CA",
"license": "G85854",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jul 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.