Active NPI
Linda Gerrits M D Inc a Professional Corp
- Nephrology Physician
- Westlake Village, CA
National Provider Identifier
1124353057
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- G55503
- Legal business name
- LINDA GERRITS M D INC A PROFESSIONAL CORP
- Practice address
- 1220 La Venta Dr
Suite 207
Westlake Village, CA 91361-3703 - Phone
- (805) 494-7710
- Fax
- (805) 494-7793
- NPI assigned
- Oct 9, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Linda M Gerrits, M.D.
- Title
- Physician
- Phone
- (805) 494-7710
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | G55503 | CA | Primary |
Addresses
Primary practice location
1220 La Venta Dr
Suite 207
Westlake Village, CA 91361-3703
Mailing address
1220 La Venta Dr
Suite 207
Westlake Village, CA 91361-3703
Phone (805) 494-7710
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G555030 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255046400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1425945600000",
"number": "1124353057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1220 LA VENTA DR",
"address_2": "SUITE 207",
"city": "WESTLAKE VILLAGE",
"state": "CA",
"postal_code": "913613703",
"telephone_number": "805-494-7710",
"fax_number": "805-494-7793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1220 LA VENTA DR",
"address_2": "SUITE 207",
"city": "WESTLAKE VILLAGE",
"state": "CA",
"postal_code": "913613703",
"telephone_number": "805-494-7710",
"fax_number": "805-494-7793"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LINDA GERRITS M D INC A PROFESSIONAL CORP",
"organizational_subpart": "NO",
"enumeration_date": "2009-10-09",
"last_updated": "2015-03-10",
"status": "A",
"authorized_official_last_name": "GERRITS",
"authorized_official_first_name": "LINDA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "805-494-7710",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Nephrology",
"state": "CA",
"license": "G55503",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G555030",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Westlake Village, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.