DR. JERRY DANIEL AYERS (NPI# 1104977602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104977602 |
| Entity Type | Individual |
| Full Name | DR. JERRY DANIEL AYERS |
| Credential | MD |
| Practice Address |
2121 5th Ave San Diego CA 92101-2139 |
| Mailing Address |
2121 5th Ave Ste 105 San Diego CA 92101-2139 |
| Practice Telephone | 6196839394 |
| Practice Fax Number | 6196839228 |
| Mailing Telephone | 6196839394 |
| Mailing Fax Number | 6196839228 |
| Enumeration Date | 2007-01-13 |
| Last Update Date | 2012-07-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
A42793 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDI-CAL PROVIDER NUMBER | 00A427930 | 01 |
| CA | MEDI-CAL PROVIDER NUMBER | 00A427931 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558385245 | Jerry Lee Ayers Jr. | Dentist | 3527 Bush River Rd, Columbia, SC 29210-4805 | 2006-07-26 |
| Street Address |
2121 5TH AVE |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92101-2139 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437261427 | Alma Jean Chappell | Pharmacy | 2121 5th Ave, San Diego, CA 92101-2139 | 2006-08-31 |
| 1154856854 | Krista Michelle Bergesen Cheuk | Marriage & Family Therapist | 2121 5th Ave, Ste. 214, San Diego, CA 92101-2139 | 2017-05-01 |
| 1952754889 | Brett Ford | Marriage & Family Therapist | 2121 5th Ave, Suite 214, San Diego, CA 92101-2139 | 2016-07-15 |
| 1497106686 | Rachel Lorene Stockton | Social Worker | 2121 5th Ave, Suite 214, San Diego, CA 92101-2139 | 2016-06-28 |
| 1609257096 | Michelle Lynn Slater | Marriage & Family Therapist | 2121 5th Ave, San Diego, CA 92101-2139 | 2015-06-11 |
| 1043607708 | Erin Graves | Social Worker | 2121 5th Ave, Suite 214, San Diego, CA 92101-2139 | 2015-04-21 |
| 1326436023 | Erika Lynn Thomas | Marriage & Family Therapist | 2121 5th Ave, Ste 214, San Diego, CA 92101-2139 | 2015-01-03 |
| 1770990657 | Therapeutic Center for Anxiety and Trauma, Individual and Family Thera | Marriage & Family Therapist | 2121 5th Ave, Suite 3-west, San Diego, CA 92101-2139 | 2014-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003415472 | Ryanleo Flores | Nurse Practitioner | 2017 1st Avenue, Suite 301, San Diego, CA 92101 | 2020-10-18 |
| 1265056048 | Tilbe Yildirim | Student in an Organized Health Care Education/Training Program | 1963 Fourth Ave., San Diego, CA 92101 | 2020-06-08 |
| 1235752585 | Liminal Solutions LLC | Home Health | 845 15th Street, Floors 1-4, San Diego, CA 92101 | 2020-05-21 |
| 1699258459 | Talya Donahue | Peer Specialist | 1045 Ninth Ave, San Diego, CA 92101 | 2018-09-07 |
| 1700380086 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 1850 5th Ave, San Diego, CA 92101 | 2018-03-21 |
| 1013436161 | Yasmin Galicianava | Student in an Organized Health Care Education/Training Program | 734 Tenth Ave, San Diego, CA 92101 | 2017-09-10 |
| 1487172516 | Jessica Roach | Counselor | 1045 9th Avenue, San Diego, CA 92101 | 2017-09-09 |
| 1699204099 | Lisa Nunez | Student in an Organized Health Care Education/Training Program | 1963 4th Avenue, San Diego, CA 92101 | 2017-06-08 |
| 1356882245 | Dajah Mone't Lockett | Counselor | 2535 Kettner Blvd Suite 1a4, San Diego, CA 92101 | 2017-03-13 |
| 1649718495 | Luigi Bunyi | Behavior Technician | 501 W Broadway Suite 800, San Diego, CA 92101 | 2017-02-01 |
| Find all providers in zip 92101 | ||||
| Taxonomy Code | 207QA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Addiction Medicine |
| A family medicine physician who specializes in the diagnosis and treatment of addictions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598036436 | Dale Michael Apodaca | Family Medicine | 3909 Henry St, San Diego, CA 92103-1623 | 2012-01-24 |
| 1386857332 | Jerry D Ayers, M.d. | Family Medicine | 3719 4th Ave, San Diego, CA 92103-4202 | 2007-05-07 |
| 1457579716 | Puri Barin-tanjuaquio | Family Medicine | 7020 Friar Rd, San Diego, CA 92108-1126 | 2007-04-23 |
| 1386785657 | Carolyn Coker Ross | Family Medicine | 4080 Falcon St, San Diego, CA 92103 | 2007-02-09 |
| 1356346225 | Renee Lois Kilmer | Family Medicine | 7545 Metropolitan Drive, San Diego, CA 92108 | 2005-06-16 |
| 1679005128 | Phillip Milgram Md, Inc | Family Medicine | 4080 Centre St, Suite 105, San Diego, CA 92103-2655 | 2017-04-03 |
| 1134374432 | Jerry D Ayers Md Inc. | Family Medicine | 2800 3rd Ave, San Diego, CA 92103-6204 | 2008-12-01 |
| 1013127984 | Bruce J Pevney | Family Medicine | 3719 4th Ave, San Diego, CA 92103-4202 | 2007-05-22 |
| 1003969031 | Johannes R Sack | Family Medicine | 2206 Balboa Ave, San Diego, CA 92109-4735 | 2007-01-21 |
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|---|---|---|---|---|
| 1194332726 | True North Detox LLC | Family Medicine | 2413 Whitmore Ave, Clovis, CA 93619-9252 | 2020-09-28 |
| 1639717473 | Michael Stone Md Inc | Family Medicine | 1950 E 17th St Ste 101, Santa Ana, CA 92705-6852 | 2019-12-11 |
| 1720624497 | Marina Harbor Detox | Family Medicine | 289 Marina Blvd, San Francisco, CA 94123-1212 | 2019-11-18 |
| 1093363848 | Anthony Martin Ocana | Family Medicine | 13924 Marquesas Way Apt 1520, Marina Del Rey, CA 90292-6018 | 2019-08-26 |
| 1821640137 | L Snyder Incorporated | Family Medicine | 34052 La Plaza #101, Dana Point, CA 92629 | 2019-07-16 |
| 1720645328 | Creative Child and Family Services, Inc. | Family Medicine | 7049 Ohio River Dr, Eastvale, CA 91752 | 2019-05-20 |
| 1932666575 | Gold Country Health Initiative, LLC | Family Medicine | 820/830 State Highway 88, Jackson, CA 95642 | 2019-03-01 |
| 1629550660 | University of California Sfgh Medical Group | Family Medicine | 1001 Potrero Ave Rm 5h22, San Francisco, CA 94110-3518 | 2018-09-06 |
| 1952809592 | Sunrise Health & Wellness Center, LLC | Family Medicine | 10089 Folsom Blvd. Suites A & C, Rancho Cordova, CA 95670-1935 | 2018-01-29 |
| 1487166120 | Good Samaritan Shelter | Family Medicine | 412 East Tunnell Street, Santa Maria, CA 93454 | 2017-11-03 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.