Individual provider Active NPI

Michael Geoffrey Ergo, MSW

  • Social Worker
  • Concord, CA
National Provider Identifier
1124372875
Registry record updated Nov 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
1333 Willow Pass Rd
Suite 106
Concord, CA 94520-7930
Phone
(925) 680-4526
Fax
(925) 680-0410
NPI assigned
Nov 2, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Primary

Addresses

Primary practice location

1333 Willow Pass Rd
Suite 106
Concord, CA 94520-7930

Mailing address

1333 Willow Pass Rd
Suite 106
Concord, CA 94520-7930
Phone (925) 680-4526

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250718000714 CA Practitioner - Clinical Social Worker 1254847155 Reassigns benefits to 2 organizations
Practice locations: Petaluma, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

Petaluma, CA 94954
Phone (858) 481-8827

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Help Administrative Services Inc CurrentSince Jul 1, 2025 Accepting new patients

Locations

3223 Blume Dr
Richmond, CA 94806

3111 Camino del Rio N
Ste 400
San Diego, CA 92108
Phone (858) 244-5176

3636 4th Ave
Ste 304
San Diego, CA 92103
Phone (760) 799-1000

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.

NPI Registry JSON

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

{
    "created_epoch": "1351814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351814400000",
    "number": "1124372875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1333 WILLOW PASS RD",
            "address_2": "SUITE 106",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945207930",
            "telephone_number": "925-680-4526",
            "fax_number": "925-680-0410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 WILLOW PASS RD",
            "address_2": "SUITE 106",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945207930",
            "telephone_number": "925-680-4526",
            "fax_number": "925-680-0410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERGO",
        "first_name": "MICHAEL",
        "middle_name": "GEOFFREY",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-11-02",
        "last_updated": "2012-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, CA

Sources for this page

Verify at the official NPI Registry.