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JEROME C HALL M D INC
NPI 1275777914
Specialist in San Diego, CA

Active since April 24, 2009CLIA Certified · 2 labs
3702 RUFFIN ROAD, SUITE 101, SAN DIEGO, CA 92123(619) 326-0610(619) 326-0616 Get Directions Write a Review

NPPES record last updated: July 29, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jerome C Hall M D Inc NPPES

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

JEROME C HALL M D INC (NPI 1275777914) is a healthcare organization registered as a specialist in San Diego, California and active in the NPI registry since April 2009. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in El Centro, and lists Jerome C Hall, President, as its authorized official.

NPPES Registry Identity

NPI1275777914
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameJEROME C HALL M D INC
Location Address3702 RUFFIN ROAD, SUITE 101San Diego, CA 92123
Mailing Address3702 Ruffin Road, Ste 101San Diego, CA 92123 · (858) 467-0610 · Fax (858) 268-0616
Phone(619) 326-0610
Fax(619) 326-0616
Organization SubpartNo
Authorized OfficialJerome C HallPresident · (858) 467-0610
Enumeration DateApril 24, 2009
Last NPPES UpdateJuly 29, 2024
NPPES CertifiedJuly 29, 2024
✔ NPI 1275777914 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · G85854
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
3702 RUFFIN ROAD, San Diego, CA 92123
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Secondary Practice Location 1

Location 11550 Pepper Dr Ste FEl Centro, CA 92243-4166 · Phone (858) 467-0610 · Fax (858) 268-0616

Other Identifiers 1

Other1962425777CA · Individual Npi

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2020790

Jerome C Hall, MD Inc · San Diego, CA
Active · expires Sep 24, 2026
CLIA Number05D2020790
Laboratory TypePhysician Office
Certificate Effective DateSeptember 25, 2024
Certificate Expiration DateSeptember 24, 2026
Laboratory DirectorJerome C. Hall, MD
Laboratory Phone(619) 326-0610
Laboratory LocationJerome C Hall, MD Inc3702 Ruffin Rd Ste 101, San Diego, CA 92123
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D2020793

Jerome C Hall, MD Inc · El Centro, CA
Active · expires Sep 24, 2026
CLIA Number05D2020793
Laboratory TypePhysician Office
Certificate Effective DateSeptember 25, 2024
Certificate Expiration DateSeptember 24, 2026
Laboratory DirectorJerome C. Hall, MD
Laboratory Phone(858) 467-0610
Laboratory LocationJerome C Hall, MD Inc1550 Pepper Dr Ste F, El Centro, CA 92243
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jerome C Hall M D Inc's NPI number?

The NPI number for Jerome C Hall M D Inc is 1275777914. It was assigned to this organization in the NPPES registry on April 24, 2009.

Where is Jerome C Hall M D Inc located?

Jerome C Hall M D Inc is located at 3702 Ruffin Road Suite 101, San Diego, CA 92123. The listed phone number is (619) 326-0610.

What is Jerome C Hall M D Inc's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Jerome C Hall M D Inc hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Jerome C Hall M D Inc was last updated on July 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.