DR. JERRY WILLIAM SAN DIEGO M.D.
NPI 1285694604
Pathology - Anatomic Pathology & Clinical Pathology in Leavenworth, KS

Q: What is Jerry San Diego's NPI number?

The NPI number for Jerry San Diego is 1285694604. It was assigned to this individual provider in the NPPES registry on March 28, 2006.

Q: What is Jerry San Diego's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Q: When was this NPI record last updated?

The NPPES record for Jerry San Diego was last updated on August 4, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since March 28, 2006

4101 S 4TH ST, P AND LMS, LEAVENWORTH, KS 66048(913) 682-2000(913) 758-4193 Get Directions Write a Review

NPPES record last updated: August 4, 2014. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Dr. Jerry William San Diego M.d. NPPES

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

DR. JERRY WILLIAM SAN DIEGO M.D. (NPI 1285694604) is an individual anatomic pathology & clinical pathology provider in Leavenworth, Kansas, licensed in Louisiana (024399) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1285694604

Entity TypeIndividualMale

Primary Taxonomy207ZP0102X

Provider Legal NameDR. JERRY WILLIAM SAN DIEGOCredential: M.D.

Location Address4101 S 4TH ST, P AND LMSLeavenworth, KS 66048-5014

Mailing Address4101 S 4th St, P And LmsLeavenworth, KS 66048-5014 · (913) 682-2000 · Fax (913) 758-4193

Phone(913) 682-2000

Fax(913) 758-4193

Sole ProprietorNo

Enumeration DateMarch 28, 2006

Last NPPES UpdateAugust 4, 2014

✔ NPI 1285694604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians

Taxonomy Code207ZP0102X

License✔ Licensed in LA · 024399

Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

4101 S 4TH ST, Leavenworth, KS 66048

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CYNTHIA DIANE STERBA RN

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