DR. DESMOND ANTHONY JOLLY MD
NPI 1063652162
Pediatrics in San Diego, CA

Q: What is Desmond Jolly's NPI number?

The NPI number for Desmond Jolly is 1063652162. It was assigned to this individual provider in the NPPES registry on March 2, 2009.

Q: What is Desmond Jolly's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Desmond Jolly was last updated on April 28, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 02, 2009PECOS Enrolled

3811 VALLEY CENTRE DR, SAN DIEGO, CA 92130(858) 764-3030 Get Directions Write a Review

NPPES record last updated: April 28, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Desmond Anthony Jolly Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DESMOND ANTHONY JOLLY MD (NPI 1063652162) is an individual pediatrics provider in San Diego, California, licensed in California (A103143) and active in the NPI registry since March 2009. He is enrolled in Medicare PECOS and maintains a secondary practice location in San Diego.

NPPES Registry Identity

NPI1063652162

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameDR. DESMOND ANTHONY JOLLYCredential: MD

Location Address3811 VALLEY CENTRE DRSan Diego, CA 92130-3318

Mailing Address10790 Rancho Bernardo RdSan Diego, CA 92127-5705 · (858) 764-3030

Phone(858) 764-3030

Sole ProprietorNo

Enumeration DateMarch 2, 2009

Last NPPES UpdateApril 28, 2022

NPPES CertifiedApril 28, 2022

✔ NPI 1063652162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in CA · A103143

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

3811 VALLEY CENTRE DR, San Diego, CA 92130

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Secondary Practice Location 1

Location 13020 Childrens Way # Mc5124San Diego, CA 92123-4223 · Phone (858) 966-6764

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Desmond Anthony Jolly Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92130 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$94.87 typical visit price

range $62.10 – $184.71

Typical copayment $23.71 (range $15.52 – $46.17)

Most-billed visit code 99203

Established Patient

$108.42 typical visit price

range $20.62 – $151.42

Typical copayment $27.10 (range $5.15 – $37.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.