Jerry Robert Gerson, MD

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

G 22706 Issued in CA

Practice address

1262 Beryl St
#135
Redondo Beach, CA 90277-2427

Phone

(310) 890-2505

Fax

(310) 861-8974

NPI assigned

Dec 29, 2006

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235295668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1262 BERYL ST",
            "address_2": "#135",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902772427",
            "telephone_number": "310-890-2505",
            "fax_number": "310-861-8974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1262 BERYL ST",
            "address_2": "#135",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902772427",
            "telephone_number": "310-890-2505",
            "fax_number": "310-861-8974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERSON",
        "first_name": "JERRY",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "CA",
            "license": "G 22706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Nicole Genberg
• Genesis Family Care Medical Group, Inc.
• Nicole Gentry, P.A.
• George Eric Alexander a Medical Corporation
• George J. Rederich, MD, Inc.
• Tina Mersadi Ghahramani
• Alen Gharibian, D.D.S.
• Vic I Giacalone, O.D.
• Miguel Francisco Gibbs, DR.
• Diego Gil

• Endocrinology, Diabetes & Metabolism Physician in Redondo Beach, CA
• Providers in Redondo Beach, CA by specialty
• Endocrinology, Diabetes & Metabolism Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.