Jorge Luis Geronimo, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

47897 Issued in CA

Practice address

2270 W Lincoln Ave Ste a
Anaheim, CA 92801-6545

Phone

(714) 224-0240

NPI assigned

Aug 14, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1187049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482364800000",
    "number": "1043402019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2270 W LINCOLN AVE STE A",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928016545",
            "telephone_number": "714-224-0240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2270 W LINCOLN AVE STE A",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928016545",
            "telephone_number": "714-224-0240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERONIMO",
        "first_name": "JORGE",
        "middle_name": "LUIS",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-14",
        "last_updated": "2016-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "47897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tanya George
• Adel Fayez Georges
• Christine Gerges, MD
• Jessica German
• Valanda L German II
• Olivia Michelle Gerry
• Stanford L. Gertler, MD
• Daniel Scott Geurin
• Jennifer Ghahyasi
• Ibrahim A Ghanem, D.C

• General Practice Dentistry in Anaheim, CA
• Providers in Anaheim, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2016; 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.