Jerry San Diego, M.D.
NPI 1285694604 · Anatomic Pathology & Clinical Pathology Physician · Leavenworth, KS
Jerry San Diego, M.D. is a Anatomic Pathology & Clinical Pathology Physician provider in Leavenworth, KS (NPI 1285694604).
Provider details
- NPI number
- 1285694604
- Entity type
- Individual
- Primary specialty
- Anatomic Pathology & Clinical Pathology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 024399 (LA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-03-28
- Last updated
- 2014-08-04
Frequently asked questions
- What is Jerry San Diego's NPI number?
- Jerry San Diego's National Provider Identifier (NPI) is 1285694604, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jerry San Diego's specialty?
- Jerry San Diego is listed in the NPPES registry with a primary specialty of Anatomic Pathology & Clinical Pathology Physician (Allopathic & Osteopathic Physicians).
- Where is Jerry San Diego located?
- Jerry San Diego's practice location on file with NPPES is 4101 S 4th St, Leavenworth, KS 66048-5014.
- What is Jerry San Diego's phone number?
- The practice phone number listed in the NPPES registry for Jerry San Diego is (913) 682-2000.
- Is Jerry San Diego's NPI active?
- Yes — Jerry San Diego's NPI (1285694604) is active in the NPPES registry as of the last update on 2014-08-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.