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

NPI Status: Active since June 03, 2006

Contact Information

2001 4TH AVE
SAN DIEGO, CA
ZIP 92101
Phone: (619) 446-1638
Fax: (619) 696-1579

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  • Individual
  • Male
  • Family Medicine

About JERROLD PENSO

This page provides the complete NPI Profile along with additional information for Jerrold Penso, a primary care provider established in San Diego, California with a medical specialization in Family Medicine. The healthcare provider is registered in the NPI registry with number 1336187079 assigned on June 2006. The practitioner's primary taxonomy code is 207Q00000X with license number G67126 (CA). The provider is registered as an individual and his NPI record was last updated 18 years ago.

NPI
1336187079
Provider Name
DR. JERROLD LEE PENSO M.D.
Gender
Male
Entity Type
Individual
Location Address
2001 4TH AVE SAN DIEGO, CA 92101
Location Phone
(619) 446-1638
Location Fax
(619) 696-1579
Mailing Address
1102 NEPTUNE AVE ENCINITAS, CA 92024
Mailing Phone
(760) 943-8636
Mailing Fax
(619) 696-1579
Is Sole Proprietor?
Yes
Enumeration Date
06-03-2006
Last Update Date
07-08-2007
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A primary care provider (PCP) like Jerrold Penso sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
License No.
G67126
License State
CA
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
F03193MEDICARE UPIN (02)CA 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1336187079
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
23662814014
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 6 + 6 + 2 + 8 + 1 + 4 + 0 + 1 + 4 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1336187079 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1790771186MS. KIM ALLEN RPH
Individual
Pharmacist2001 4TH AVE SHARP REES STEALY PHARMACY
SAN DIEGO, CA 92101
(619) 446-1515
1093790982 ANASTASIA SOPHIA BROWN MPT
Individual
Physical Therapist2001 4TH AVE
SAN DIEGO, CA 92101
(619) 466-1730
1396705299DR. BETI NISSAN MD
Individual
Pediatrics2001 4TH AVE SHARP REES STEALY
SAN DIEGO, CA 92101
(858) 997-5459
1942217872DR. DONALD CHURCH BALFOUR III M.D.
Individual
Internal Medicine (Hematology & Oncology)2001 4TH AVE
SAN DIEGO, CA 92101
(619) 446-1530
1114936424 CLAY R. BOWLAND M.D.
Individual
Radiology (Diagnostic Radiology)2001 4TH AVE
SAN DIEGO, CA 92101
(619) 446-1586
1427067727 ROBYN BODECKER PA-C
Individual
Physician Assistant2001 4TH AVE
SAN DIEGO, CA 92101
(858) 499-2777
1295744563 TASHA T LE M.D.
Individual
Emergency Medicine2001 4TH AVE
SAN DIEGO, CA 92101
(858) 499-2777
1225048440MR. JAMES G MILLER P.A.
Individual
Physician Assistant2001 4TH AVE
SAN DIEGO, CA 92101
(858) 499-2777
1497866917DR. ROBERT C VINTON M.D.
Individual
Preventive Medicine (Occupational Medicine)2001 4TH AVE
SAN DIEGO, CA 92101
(858) 499-2777
1801907423DR. JOSEPH G THOENE M.D.
Individual
Preventive Medicine (Occupational Medicine)2001 4TH AVE
SAN DIEGO, CA 92101
(858) 499-2777
1245342377MR. DORIAN J REED P.A
Individual
Physician Assistant2001 4TH AVE
SAN DIEGO, CA 92101
(858) 499-2777
1982799888DR. PATRICIA M LUNDEBERG M.D.
Individual
Family Medicine (Geriatric Medicine)2001 4TH AVE
SAN DIEGO, CA 92101
(858) 499-2777
1780766279DR. ROBERT J MARSAN JR. M.D.
Individual
Emergency Medicine2001 4TH AVE
SAN DIEGO, CA 92101
(619) 499-2777
1437375169MRS. ANDREA MARY ADRIANY PT
Individual
Physical Therapist (Orthopedic)2001 4TH AVE
SAN DIEGO, CA 92101
(619) 446-1730
1568688125MS. SANDRA LYNN CAMPBELL PT
Individual
Physical Therapist2001 4TH AVE
SAN DIEGO, CA 92101
(619) 446-1730
1710106950MS. SUSAN MARIE ATHANS PT
Individual
Physical Therapist (Orthopedic)2001 4TH AVE
SAN DIEGO, CA 92101
(619) 446-1730
1386856896DR. JOHN FRANCIS LORENTZ M.D.
Individual
Preventive Medicine (Preventive Medicine/Occupational Environmental Medicine)2001 4TH AVE
SAN DIEGO, CA 92101
(619) 985-7763
1962682179DR. LILY E. TANG M.D.
Individual
Radiology (Diagnostic Radiology)2001 4TH AVE
SAN DIEGO, CA 92101
(619) 446-1586
1588947196DR. KATHRYN MARIE ADAMS M.D.
Individual
Internal Medicine2001 4TH AVE
SAN DIEGO, CA 92101
(619) 446-1646
1487667044DR. LOUIS WILLIAM SIEBEN M.D.
Individual
Family Medicine2001 4TH AVE
SAN DIEGO, CA 92101
(858) 499-2777

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1336187079, enumerated in the NPI registry as an "individual" on June 03, 2006

The provider is located at 2001 4th Ave San Diego, Ca 92101 and the phone number is (619) 446-1638

The provider's speciality is Family Medicine with taxonomy code 207Q00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on June 03, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.