Individual provider Active NPI

Naomi V. Gelardi, F.N.P.

  • Family Nurse Practitioner
  • Yucca Valley, CA
National Provider Identifier
1093837056
Registry record updated Oct 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
10756 Issued in CA
Practice address
57475 29 Palms Hwy
Suite 101
Yucca Valley, CA 92284-2906
Phone
(760) 365-9878
Fax
(206) 309-0387
NPI assigned
Apr 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 506092 CA
Family Nurse Practitioner 363LF0000X 10756 CA Primary

Addresses

Primary practice location

57475 29 Palms Hwy
Suite 101
Yucca Valley, CA 92284-2906

Mailing address

57475 29 Palms Hwy
Suite 101
Yucca Valley, CA 92284-2906
Phone (760) 365-9878

Other identifiers 3

IdentifierTypeStateIssuer
506092OtherCACA LICENSE #
54064OtherCACA LICENSE #
10756OtherCACA LICENSE #

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
506092CAMDRegistered Nurse
10756CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Varun Gupta MD Professional Corporation Past Accepting new patients
Round Valley Indian Health Center, Inc. Past Accepting new patients
Round Valley Indian Health Center Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383177600000",
    "number": "1093837056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57475 29 PALMS HWY",
            "address_2": "SUITE 101",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "922842906",
            "telephone_number": "760-365-9878",
            "fax_number": "206-309-0387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57475 29 PALMS HWY",
            "address_2": "SUITE 101",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "922842906",
            "telephone_number": "760-365-9878",
            "fax_number": "206-309-0387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GELARDI",
        "first_name": "NAOMI",
        "middle_name": "V.",
        "credential": "F.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-03",
        "last_updated": "2013-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "506092",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "10756",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA LICENSE #",
            "identifier": "506092",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA LICENSE #",
            "identifier": "54064",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA LICENSE #",
            "identifier": "10756",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yucca Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2013; 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.