Active NPI
Matthew Geraets, HEALTH SERVICES TECH
- Other Technician
- Alameda, CA
National Provider Identifier
1063595619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- Practice address
- 1 Eagle Rd
Alameda, CA 94501-5100 - Phone
- (510) 437-3582
- NPI assigned
- Oct 24, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Other Technician | 247200000X | Primary |
Addresses
Primary practice location
1 Eagle Rd
Alameda, CA 94501-5100
Mailing address
1 Eagle Rd
Alameda, CA 94501-5100
Phone (510) 437-3582
Other names 1
- Matthew Geraets
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| US Coast Guard | Past | Accepting new patients | |
| Uscg | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinic/Center
- Alameda, CA
- NPI 1306921234
-
- Military/U.S. Coast Guard Outpatient Clinic/Center
- Alameda, CA
- NPI 1326100827
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1063595619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 EAGLE RD",
"city": "ALAMEDA",
"state": "CA",
"postal_code": "945015100",
"telephone_number": "510-437-3582"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 EAGLE RD",
"city": "ALAMEDA",
"state": "CA",
"postal_code": "945015100",
"telephone_number": "510-437-3582"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERAETS",
"first_name": "MATTHEW",
"credential": "HEALTH SERVICES TECH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MATTHEW",
"last_name": "GERAETS",
"credential": "R.T. (R)",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Alameda, 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.