Individual provider Active NPI

Robert David Gerardi, IDC

  • Independent Duty Corpsman
  • San Diego, CA
National Provider Identifier
1003840653
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Independent Duty CorpsmanTaxonomy code 1710I1002X
Practice address
2841 Rendova Road
San Diego, CA 92155
Phone
(619) 437-2329
Fax
(619) 437-2700
NPI assigned
Jul 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Independent Duty Corpsman 1710I1002X Primary

Addresses

Primary practice location

2841 Rendova Road
San Diego, CA 92155

Mailing address

2841 Rendova Road
San Diego, CA 92155
Phone (619) 437-2329

Other identifiers 1

IdentifierTypeStateIssuer
1710I1002XOtherCAINDEPENDENT DUTY CORPSMAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003840653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2841 RENDOVA ROAD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92155",
            "telephone_number": "619-437-2329",
            "fax_number": "619-437-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2841 RENDOVA ROAD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92155",
            "telephone_number": "619-437-2329",
            "fax_number": "619-437-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERARDI",
        "first_name": "ROBERT",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "IDC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1002X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Corpsman",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT DUTY CORPSMAN",
            "identifier": "1710I1002X",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.