DR. DESMOND ANTHONY JOLLY


Address: 3020 Childrens Way # Mc5124, San Diego, CA 92123-4223
Phone: 8589666764

DR. DESMOND ANTHONY JOLLY (NPI# 1063652162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063652162
Entity Type Individual
Full Name DR. DESMOND ANTHONY JOLLY
Credential MD
Practice Address 3020 Childrens Way # Mc5124
San Diego
CA 92123-4223
Mailing Address 10863 Caminito Colorado
San Diego
CA 92131-3555
Practice Telephone 8589666764
Mailing Telephone 8586892610
Enumeration Date 2009-03-02
Last Update Date 2011-01-28
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208000000X Pediatrics A103143 CA Allopathic & Osteopathic Physicians

Office Location

Street Address 3020 CHILDRENS WAY # MC5124
City SAN DIEGO
State CA
Zip Code 92123-4223

Providers in the same location

NPI Name Taxonomy Address Enumeration
1679192793 Jessica Clare Erlich Student in an Organized Health Care Education/Training Program 3020 Childrens Way # Mc5124, San Diego, CA 92123-4223 2020-04-09
1093343105 Kristen Leanne Empie Student in an Organized Health Care Education/Training Program 3020 Childrens Way # Mc5124, San Diego, CA 92123-4223 2020-04-01
1598393829 Maayan Joy Yakir Student in an Organized Health Care Education/Training Program 3020 Childrens Way # Mc5124, San Diego, CA 92123-4223 2020-03-31
1528696838 Katherine Boyer Tygart Student in an Organized Health Care Education/Training Program 3020 Childrens Way # Mc5124, San Diego, CA 92123-4223 2020-03-31
1659909356 Emma Hadley Student in an Organized Health Care Education/Training Program 3020 Childrens Way # Mc5124, San Diego, CA 92123-4223 2020-03-29
1073141974 Bruce Devon Ball Jr. Student in an Organized Health Care Education/Training Program 3020 Childrens Way # Mc5124, San Diego, CA 92123-4223 2020-03-28
1477181303 Lisa Ann Eichberger Student in an Organized Health Care Education/Training Program 3020 Childrens Way # Mc5124, San Diego, CA 92123-4223 2020-03-27
1174151120 Isabella Marie Hanulik Student in an Organized Health Care Education/Training Program 3020 Childrens Way # Mc5124, San Diego, CA 92123-4223 2020-03-27
1720615867 Mandeep Bajwa Student in an Organized Health Care Education/Training Program 3020 Childrens Way # Mc5124, San Diego, CA 92123-4223 2020-03-26
1104453281 Troy Yi Student in an Organized Health Care Education/Training Program 3020 Childrens Way # Mc5124, San Diego, CA 92123-4223 2020-03-26
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669087326 Corina Lozano Manzo Registered Nurse 7436 Mission Center Road, San Diego, CA 92123 2020-09-10
1831703537 Shannon Leigh Doolittle Audiologist 3020 Children's Way Mc5010, San Diego, CA 92123 2020-09-01
1861014359 Ha Thanh Truong Pharmacist Rezcare, 3821 Calle Fortunada, San Diego, CA 92123 2020-05-07
1023667136 Brittany Meyer Physical Therapist 3020 Children's Waymc5068, San Diego, CA 92123 2019-09-11
1598313272 Ryan Edward Shaw Marriage & Family Therapist 8910 Clairmont Mesa Blvd, San Diego, CA 92123 2019-08-27
1528611910 Tanisha C Fulcher Marriage & Family Therapist 8825 Aero Dr., Ste 315, San Diago, CA 92123 2019-07-24
1245795665 Robin James Pekin Marriage & Family Therapist 4450 Kearny Villa Rd, #116, San Diego, CA 92123 2019-02-11
1174093728 Karen Vences Counselor 8755 Aero Dr Suite 230, San Diego, CA 92123 2018-11-27
1255808465 Natasha Herrera Counselor 2801 Meadow Lark Dr, San Diego, San Diego, CA 92123 2018-10-25
1407321987 Maneka Elikewela Behavior Technician 3934 Murphy Canyon Rd, Ste B202, San Diego, CA 92123 2018-10-10
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Taxonomy Information

Taxonomy Code 208000000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics

Taxonomy Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1700342748 San Diego Uptown Pediatric Medical Group, Inc Pediatrics 3500 Fifth Ave Ste 101, San Diego, CA 92103-5020 2019-02-14
1467976340 Cheryl Adele Burian Pediatrics 6572 Cascade St, San Diego, CA 92122-2425 2017-08-01
1043747819 Karen Chan Pediatrics 3030 Childrens Way Fl 4, San Diego, CA 92123-4232 2017-05-11
1922462209 Meaghan Wido Pediatrics Naval Medical Ctr 34800 Bob Wilson Drive, San Diego, CA 92134-5000 2016-04-12
1427434679 Coast Pediatrics Carmel Valley Pediatrics 5965 Village Drive, Suite 201, San Diego, CA 92130 2015-08-10
1194104521 Charles E Pohl IIi Pediatrics 3020 Childrens Way # Mc5065, San Diego, CA 92123-4223 2015-05-18
1477948479 Thuan Diep Pediatrics 12036 Scripps Highlands Dr Ste 102, San Diego, CA 92131-5155 2015-04-06
1518352970 Karen Ki Won Lee Pediatrics 3020 Childrens Way # Mc5035, San Diego, CA 92123-4223 2015-04-02
1730594235 Jessie Su Bowers Pediatrics 12036 Scripps Highlands Dr # 102, San Diego, CA 92131-5155 2014-06-24
1154683043 Daniel Micah Lichtmann Pediatrics 15004 Innovation Drive, San Diego, CA 92128 2012-06-15
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Competitor

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City SAN DIEGO
Zip Code 92123

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Dataset Information

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.

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