Individual provider Active NPI

Gerard V. Bland, MD

  • Emergency Medicine Physician
  • Jackson, CA
National Provider Identifier
1093828758
Registry record updated Apr 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
G79746 Issued in CA
Practice address
200 Mission Boulevard
Jackson, CA 95642-2564
Phone
(209) 223-7500
NPI assigned
Aug 16, 2006
Last updated
Apr 2, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X G79746 CA Primary

Addresses

Primary practice location

200 Mission Boulevard
Jackson, CA 95642-2564

Mailing address

P.O. Box 11949
Westminster, CA 92685-1949

Other identifiers 1

IdentifierTypeStateIssuer
00G797460MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050111001133 CA Practitioner - Emergency Medicine 1355399767 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
97.92 of 100Reported as group
Quality
87.42
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G79746CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vallejo Emergency Physicians Medical Group Inc. Emergency Medicine CurrentSince Jan 4, 2011 Accepting new patients
Stat Med PC a California Medical Professional Corporation Family Medicine CurrentSince Jul 30, 2022 Accepting new patients
Stat Med PC a California Medical Professional Corporation CurrentSince Jul 30, 2022 Accepting new patients
Amador Emergency Physicians Medical Group, Inc Emergency Medicine Past Accepting new patients
Woodland Emergency Physicians Medical Group Inc Emergency Medicine Past Accepting new patients

Locations

901 Sunvalley Blvd
Ste 100
Concord, CA 94520
Phone (925) 234-4447

4465 1st St
Livermore, CA 94551
Phone (925) 234-4447

300 Hospital Dr
Vallejo, CA 94589
Phone (707) 554-4107

Interoperability endpoints

  • Direct secure messaging: gbland216432@hisp.ehr.sutterhealth.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207094400000",
    "number": "1093828758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 11949",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926851949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MISSION BOULEVARD",
            "city": "JACKSON",
            "state": "CA",
            "postal_code": "956422564",
            "telephone_number": "209-223-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAND",
        "first_name": "GERARD",
        "middle_name": "V.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2008-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "G79746",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G797460",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, CA

Sources for this page

Verify at the official NPI Registry.