Jerome Keith Manson, M.D.
Surgery in San Diego, CA. Individual provider (NPI-1).
Details
- NPI
- 1073926432
- Entity type
- Individual (NPI-1)
- Name
- Jerome Keith Manson
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 3, 2014
- Certification date
- Sep 10, 2024
- Last updated
- Sep 10, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - COLORECTAL SURGERY (PROCTOLOGY)
- Can order and refer
- Part B No · DME Yes · Home health No · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | A196663 | CA | Yes |
| 208600000X | Surgery | R74518 | AZ | |
| 208C00000X | Colon & Rectal Surgery | 66926 | MN | |
| 208C00000X | Colon & Rectal Surgery | A196663 | CA |
Practice location
200 W Arbor DrSan Diego, CA 92103-9000
Phone 800-926-8273 · Fax 888-539-8781
Mailing address
File 57326Los Angeles, CA 90074-0001
Other practice locations
Phoenix, AZ 85006-2502
Phone 602-839-3339 · Fax 602-839-3300
Rochester, MN 55905-0001
Phone 507-284-2511
La Jolla, CA 92037-1300
Phone 800-926-8273 · Fax 888-539-8781
La Jolla, CA 92037-1337
Phone 800-926-8273 · Fax 888-539-8781
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 183 Surgery Physician providers in San Diego · All 61,118 providers in San Diego
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