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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. JERROLD LEE PENSO M.D.
NPI 1336187079
Family Medicine in San Diego, CA

Active since June 03, 2006
2001 4TH AVE, SAN DIEGO, CA 92101(619) 446-1638(619) 696-1579 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jerrold Lee Penso M.d. NPPES

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

DR. JERROLD LEE PENSO M.D. (NPI 1336187079) is an individual family medicine provider in San Diego, California, licensed in California (G67126) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1336187079
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JERROLD LEE PENSOCredential: M.D.
Location Address2001 4TH AVESan Diego, CA 92101-2303
Mailing Address1102 Neptune AveEncinitas, CA 92024-1427 · (760) 943-8636 · Fax (760) 943-7961
Phone(619) 446-1638
Fax(619) 696-1579
Sole ProprietorNo
Enumeration DateJune 3, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1336187079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · G67126
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2001 4TH AVE, San Diego, CA 92101
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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.

DR. TIMOTHY STUART HINMAN M.D.
Emergency Medicine
2001 4TH AVE
SAN DIEGO, CA 92101
San Diego County (858) 499-2600
DR. SUHAIL M JAFREY MD
Family Medicine
2001 4TH AVE, SUITE 200 MID MN FAMILY MEDICINE CENTER
SAN DIEGO, CA 92101
San Diego County (858) 499-2600
SARAH ELIZABETH MACGUIRE RN
Registered Nurse (Diabetes Educator)
2001 4TH AVE
SAN DIEGO, CA 92101
San Diego County (619) 890-7558
ANASTASIA SOPHIA BROWN MPT
Physical Therapist
2001 4TH AVE
SAN DIEGO, CA 92101
San Diego County (619) 466-1730
CLAY R. BOWLAND M.D.
Radiology (Diagnostic Radiology)
2001 4TH AVE
SAN DIEGO, CA 92101
San Diego County (619) 446-1586
JANELLE DONAHUE PEGG M.D.
Family Medicine
2001 4TH AVE
SAN DIEGO, CA 92101
San Diego County (858) 499-2600
JULIE G MARMON M.D.
Emergency Medicine
2001 4TH AVE
SAN DIEGO, CA 92101
San Diego County (858) 499-2777
BRIJ GUPTA M.D.
Internal Medicine
2001 4TH AVE
SAN DIEGO, CA 92101
San Diego County (858) 720-0493

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 Jerrold Penso's NPI number?

The NPI number for Jerrold Penso is 1336187079. It was assigned to this individual provider in the NPPES registry on June 3, 2006.

Where is Jerrold Penso located?

Jerrold Penso practices at 2001 4th Ave, San Diego, CA 92101. The listed phone number is (619) 446-1638.

What is Jerrold Penso's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Jerrold Penso was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 days 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.