FORREST C. JELLISON M.D. – NPI #1508073511
Urology

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Health Care Provider Taxonomy Code for Urology

FORREST JELLISON is an urologist located in LOMA LINDA, CA. NPPES has assigned the NPI number 1508073511 to FORREST JELLISON on May 17, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI data, there are 2 additional location(s) assigned to this provider which are listed below. The primary taxonomy selected by this provider is 208800000X from the Health Care Provider Taxonomy code set, which is classified as Urology.

The NPI profile was previously updated about 7 years ago on Jun 04, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for FORREST JELLISON below.

NPI Profile for
FORREST C. JELLISON

NPI Number
1508073511
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
FORREST C. JELLISON
Credentials
M.D.
Primary location
11370 ANDERSON ST STE 1100
LOMA LINDA, CA 92354
Phone: (909) 558-4196 Fax: (909) 558-4806
2 Other location(s):
11370 Anderson St Ste 1100
Loma Linda, CA 92354
Phone: (909) 558-4196 Ext: 44196
Fax: (909) 558-4806
3551 Roger Brooke Drive Bldg 3600 MCHE-SDU
San Antonio Military Medical Center
Jbsa Fort Sam Houston, TX 78234-4504
Phone: (310) 794-0206
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208800000X
- Urology (Primary)		 CA A98781

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE - Graduated 2005
Offers Telehealth Services
Yes - Telehealth services allows you to talk to your health care provider using audio/video communications, such as Zoom, without actually going in to the doctor's office
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
FORREST JELLISON is affiliated with the following medical group(s):
  • HOSPITAL
    • ARROWHEAD REGIONAL MEDICAL CENTER
      400 NORTH PEPPER AVENUE
      COLTON, CA 92324
    • LOMA LINDA UNIVERSITY MEDICAL CENTER
      11234 ANDERSON ST
      LOMA LINDA, CA 92354
    • REDLANDS COMMUNITY HOSPITAL
      350 TERRACINA BLVD
      REDLANDS, CA 92373
    • RIVERSIDE UNIVERSITY HEALTH SYSTEM-MEDICAL CENTER
      26520 CACTUS AVENUE
      MORENO VALLEY, CA 92555

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