DR. JERRY NEIL RAND (NPI# 1801983085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801983085 |
| Entity Type | Individual |
| Full Name | DR. JERRY NEIL RAND |
| Credential | M.D. |
| Practice Address |
4241 Jutland Dr Suite 202 San Diego CA 92117-3663 |
| Practice Telephone | 8582746633 |
| Practice Fax Number | 8582746643 |
| Mailing Telephone | 8582746633 |
| Mailing Fax Number | 8582746643 |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2007-11-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 33-0580265 | CA | Allopathic & Osteopathic Physicians |
| N | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
33-0580265 | CA | Allopathic & Osteopathic Physicians |
| N | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
33-0580265 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | G257491 | 05 |
| Street Address |
4241 JUTLAND DR SUITE 202 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92117-3663 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104845122 | Craig L. Dillman | Chiropractor | 4241 Jutland Dr, Ste 202, San Diego, CA 92117-3661 | 2006-07-19 |
| 1427317841 | Marilyn Thompson | Marriage & Family Therapist | 4241 Jutland Dr, 103, San Diego, CA 92117-3663 | 2012-05-04 |
| 1487950002 | Chemical Dependency & Pain Recovery of Ca, LLC | Substance Abuse Rehabilitation Facility | 4241 Jutland Dr, Suite 103, San Diego, CA 92117-3663 | 2011-01-28 |
| 1821246638 | Michael D. Corradino | Acupuncturist | 4241 Jutland Dr, 202, San Diego, CA 92117-3663 | 2008-09-04 |
| 1093977563 | Deborah E. Katz | Psychologist | 4241 Jutland Dr, 103, San Diego, CA 92117-3663 | 2008-06-26 |
| 1770756074 | San Diego Foundation for Recovery | Acupuncturist | 4241 Jutland Dr, 103, San Diego, CA 92117-3663 | 2008-04-08 |
| 1043405533 | Harmony Grove Programs, Inc. | Community/Behavioral Health | 4241 Jutland Dr, #320, San Diego, CA 92117-3663 | 2007-09-08 |
| 1265526958 | Khara Elise Rice | Marriage & Family Therapist | 4241 Jutland Dr, Suite 202, San Diego, CA 92117-3663 | 2006-10-03 |
| 1427140367 | Jerry Rand Apmc | Clinic/Center | 4241 Jutland Dr, Suite 202, San Diego, CA 92117-3663 | 2006-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154956050 | Enbara Corporation | Dentist | 5189 Clairmont Mesa Blvd, San Diego, CA 92117 | 2020-03-11 |
| 1568956050 | Lourdes C Villagran | Case Manager/Care Coordinator | 4474 Charger Blvd, San Diego, CA 92117 | 2018-06-18 |
| 1750893509 | Dzendzel Family Chiropractic | Chiropractor | 3650 Clairemont Drive, Ste 2, San Diego, CA 92117 | 2017-11-02 |
| 1205355401 | Alan Ford | Counselor | 4150 Ute Dr., San Diego, CA 92117 | 2017-09-19 |
| 1780101238 | Allison Dawn Heeney | Occupational Therapist | 3386 Hopi Place, San Diego, CA 92117 | 2017-08-25 |
| 1275074379 | Rachel Gabrielle Packer | Counselor | 5252 Balboa Ave Ste 801, San Diego, CA 92117 | 2017-03-09 |
| 1316482995 | Lisa Graff-marsh, Inc. | Social Worker | 4985 Park Rim Dr., San Diego, CA 92117 | 2017-01-05 |
| 1417408949 | Markos and Markos 1 Inc | Private Vehicle | 4495 Clairemont Mesa Blvd, San Diego, CA 92117 | 2016-10-19 |
| 1801341813 | Huynh and Habashi Dental Corporation | Dentist | 2995 Clairemont Dr, Suite A, San Diego, CA 92117 | 2016-08-19 |
| 1184076077 | Tammy Monck | Optometrist | 3952 Clairemont Mesa Blvd Ste I, San Diego, CA 92117 | 2016-07-05 |
| Find all providers in zip 92117 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275145138 | Vishal Verma Md Inc | Family Medicine | 13280 Evening Creek Dr S Ste 225, San Diego, CA 92128-4664 | 2020-08-20 |
| 1225651508 | Charles N Le Medical Alliance, Professional Corp. | Family Medicine | 4440 Euclid Ave Ste A, San Diego, CA 92115-4522 | 2020-05-21 |
| 1457992927 | Huong T L Nguyen Md Inc | Family Medicine | 4444 El Cajon Blvd Ste 6, San Diego, CA 92115-4392 | 2019-10-04 |
| 1265082838 | Jessica Lynn Ross | Family Medicine | 1670 Kettner Blvd Apt 109, San Diego, CA 92101-2556 | 2019-09-16 |
| 1306406251 | Patrick Sweet Md PC | Family Medicine | 4460 Teralta Pl, San Diego, CA 92103-1247 | 2019-06-13 |
| 1225503048 | San Diego Health LLC | Family Medicine | 6610 Flanders Dr Ste 100, San Diego, CA 92121-3940 | 2018-10-08 |
| 1427553502 | Behrang Dehkordi Md Inc | Family Medicine | 444 W C St Ste 185, San Diego, CA 92101-3597 | 2018-03-29 |
| 1245767037 | Tam K Tran | Family Medicine | 7830 Clairemont Mesa Blvd Ste 100, San Diego, CA 92111-1632 | 2017-05-11 |
| 1912350455 | Ruben G Flores | Family Medicine | 2470 Pine Street, San Diego, CA 92103 | 2016-07-20 |
| 1396124145 | Chevon Alderson | Family Medicine | 4305 La Jolla Village Dr # 2518, San Diego, CA 92122-1270 | 2015-05-27 |
| Find all providers in SAN DIEGO | ||||
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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.