Individual ProviderJerrod HammesGeneral PracticeAllopathic & Osteopathic PhysiciansPractice Address34800 Bob Wilson Dr, San Diego, CA 92134-1098(619) 532-6400(812) 653-0264PECOS EnrollmentBased on the most recent information from CMS, provider Jerrod Hammes does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1114632478Provider TypeIndividualFull NameHammes, JerrodCredentialMDGenderMaleSole ProprietorNoEnumeration Date1/20/2023Last Updated8/11/2025Contact InformationPractice LocationPractice Address34800 Bob Wilson Dr, San Diego, CA 92134-1098Phone(619) 532-6400FaxUnlisted FaxMailing LocationMailing Address1418 Chesapeake St, Charlottesville, VA 22902-5432Phone(812) 653-0264FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode208D00000XPrimaryDescriptionGeneral PracticeAllopathic & Osteopathic PhysiciansLicense0101284198VirginiaCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer