Michael J Gentiluomo

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

6327-R Issued in CA

Practice address

18090 Beach Blvd
5&6
Huntington Beach, CA 92648-1327

Phone

(714) 841-3863

NPI assigned

Sep 23, 2016

Last updated

Sep 23, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1474588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474588800000",
    "number": "1225587850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19923 CHRISTINA CIR",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907037849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18090 BEACH BLVD",
            "address_2": "5&6",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926481327",
            "telephone_number": "714-841-3863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENTILUOMO",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-09-23",
        "last_updated": "2016-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "6327-R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynn Genden, OTR/L
• Mina Gendy, D.D.S.
• Genesis New Beginning
• Beverly Genis, R.N.
• Catherine Gentemann, M.D.
• Constance George, ATC
• Gerald L. Chapman D.D.S. a Professional Corporation
• Jacqueline Gerard
• Micayla Gerardi, OTR/L
• Jocelyne Gerardo

• Addiction (Substance Use Disorder) Counselor in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2016; 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.