Active NPI
Gerardo William Hizon, MD, FAAFP, CAQSM
- Family Medicine Physician
- Temecula, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- G55359
- Practice address
- 27699 Jefferson Ave Ste 101
Temecula, CA 92590-2696 - Phone
- (951) 790-0107
- Fax
- (951) 667-1933
- NPI assigned
- Apr 3, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Family Medicine) Physician | 207QS0010X | G55359 | CA | |
| Family Medicine Physician | 207Q00000X | G55359 | CA | Primary |
Addresses
Primary practice location
27699 Jefferson Ave Ste 101
Temecula, CA 92590-2696
Mailing address
27699 Jefferson Ave Ste 101
Temecula, CA 92590-2696
Phone (951) 790-0107
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
28780 Single Oak Dr
Suite 270
Temecula, CA 92590-5534
Phone (951) 676-4193
Hospital & facility affiliations
- Mission Home Health of San Diego LLC
- Angelicare Home Health Inc
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G55359 | CA | MD | Sports Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rancho Family Medical Group, Inc. | Family Medicine | Current | Accepting new patients |
| Hizon Medical Corporation | Past | Accepting new patients | |
| UC San Diego Health - Rancho Family Medical Group | Past | Accepting new patients |
Locations
263 Church Ave
Chula Vista, CA 91910
Phone (619) 422-1324
28780 Single Oak Dr
Ste 160
Temecula, CA 92590
Phone (951) 658-9461
28780 Single Oak Dr
Ste 270
Temecula, CA 92590
Phone (951) 600-1795
27450 Ynez Rd
Ste 128
Temecula, CA 92591
Phone (714) 935-0073
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
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.
-
- Family Medicine Physician
- Temecula, CA
- NPI 1598791600
-
- Non-Pharmacy Dispensing Site
- Murrieta, CA
- NPI 1912333907
-
- Multi-Specialty Clinic/Center
- Temecula, CA
- NPI 1003385071
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Chino, CA
- NPI 1578896304
-
- Home Health Agency
- San Diego, CA
- NPI 1063726628
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673913600000",
"number": "1205898558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27699 JEFFERSON AVE STE 101",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925902696",
"telephone_number": "951-790-0107",
"fax_number": "951-667-1933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27699 JEFFERSON AVE STE 101",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925902696",
"telephone_number": "951-790-0107",
"fax_number": "951-667-1933"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HIZON",
"first_name": "GERARDO",
"middle_name": "WILLIAM",
"credential": "MD, FAAFP, CAQSM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-03",
"last_updated": "2023-01-17",
"certification_date": "2023-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "CA",
"license": "G55359",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "G55359",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Temecula, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.