Active NPI
Gemma Berdin
- Licensed Vocational Nurse
- San Jose, CA
National Provider Identifier
1003930041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Vocational Nurse
- License
- VN 221203
- Practice address
- 210 N 4TH St
Suite 100
San Jose, CA 95112-5569 - Phone
- (408) 295-5288
- Fax
- (408) 292-1029
- NPI assigned
- Mar 16, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | VN 221203 | CA | Primary |
Addresses
Primary practice location
210 N 4TH St
Suite 100
San Jose, CA 95112-5569
Mailing address
1324 S Winchester Blvd
# 66
San Jose, CA 95128-4341
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| VN 221203 | CA | MD | Licensed Vocational Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1003930041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1324 S WINCHESTER BLVD",
"address_2": "# 66",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951284341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 N 4TH ST",
"address_2": "SUITE 100",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951125569",
"telephone_number": "408-295-5288",
"fax_number": "408-292-1029"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERDIN",
"first_name": "GEMMA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "164X00000X",
"taxonomy_group": "",
"desc": "Licensed Vocational Nurse",
"state": "CA",
"license": "VN 221203",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Jose, 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.