NPI 1740253301
Jerome Michael McDonald, MD
Practice location
- Address
- 1901 N California St, Stockton, CA 95204-6005
- Phone
- (209) 946-6800
- Fax
- (209) 946-6805
- Mailing address
- 3400 Data Dr Attention: Credentialing and Payer Enrollment Dept, Rancho Cordova, CA 95670
Registered specialties
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
Registry record
- NPI
- 1740253301
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 13 Feb 2006
- Record last updated
- 26 Sep 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.