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MR. JERRY LESTER CALLAWAY MD
NPI 1780788356
Internal Medicine in San Jose, CA

Active since September 12, 2006
2512 SAMARITAN COURT, SUITE M, SAN JOSE, CA 95124(408) 358-3715(408) 356-9189 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Jerry Lester Callaway Md NPPES

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

MR. JERRY LESTER CALLAWAY MD (NPI 1780788356) is an individual internal medicine provider in San Jose, California, licensed in California (A25401) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1780788356
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMR. JERRY LESTER CALLAWAYCredential: MD
Location Address2512 SAMARITAN COURT, SUITE MSan Jose, CA 95124
Mailing Address2512 Samaritan Court, Suite MSan Jose, CA 95124 · (408) 358-3715 · Fax (408) 356-9189
Phone(408) 358-3715
Fax(408) 356-9189
Sole ProprietorNo
Enumeration DateSeptember 12, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1780788356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A25401
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2512 SAMARITAN COURT, San Jose, CA 95124
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Other Identifiers 3

Medicare UPINA24422
Medicare ID-Type Unspecified00A254010CA
Medicaid00A254010CA

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 Jerry Callaway's NPI number?

The NPI number for Jerry Callaway is 1780788356. It was assigned to this individual provider in the NPPES registry on September 12, 2006.

Where is Jerry Callaway located?

Jerry Callaway practices at 2512 Samaritan Court Suite M, San Jose, CA 95124. The listed phone number is (408) 358-3715.

What is Jerry Callaway's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Jerry Callaway was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.