NPIMap

Organization Active NPI

Gerihealthsolutions, Inc.

Doing business as geriHEALTHcare

  • Gerontology Nurse Practitioner
  • Novato, CA
National Provider Identifier
1275699704
Registry record updated Jan 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
4924 Issued in CA
Legal business name
GERIHEALTHSOLUTIONS, INC.
Doing business as
geriHEALTHcare
Practice address
750 Grant Ave
Suite 150
Novato, CA 94945-7001
Phone
(415) 899-9800
Fax
(415) 899-9805
NPI assigned
Dec 29, 2006
Last updated
Jan 6, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2009

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

Authorized official

Name
Debra E Bakerjian, PHDNPI 1306872544
Title
Chief Executive Officer
Phone
(415) 899-9800

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 8

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LG0600X 4924 CA Primary
Gerontology Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LG0600X 8749 CA
Gerontology Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LG0600X 8750 CA
Gerontology Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LG0600X 294 CA
Gerontology Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LG0600X 11529 CA
Gerontology Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LG0600X 10022 CA
Gerontology Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LG0600X 10811 CA
Gerontology Clinical Nurse SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 364SG0600X 13815 CA

Addresses

Primary practice location

750 Grant Ave
Suite 150
Novato, CA 94945-7001

Mailing address

750 Grant Ave
Suite 150
Novato, CA 94945-7001
Phone (415) 899-9800

Other identifiers 1

IdentifierTypeStateIssuer
GNP000180MedicaidCA

Other names 1

  • geriHEALTHcare Doing business as

National Provider Directory

National Provider Directory

Locations

750 Grant Ave
Ste 150
Novato, CA 94945
Phone (415) 899-9600

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231200000000",
    "number": "1275699704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 GRANT AVE",
            "address_2": "SUITE 150",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949457001",
            "telephone_number": "415-899-9800",
            "fax_number": "415-899-9805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 GRANT AVE",
            "address_2": "SUITE 150",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949457001",
            "telephone_number": "415-899-9800",
            "fax_number": "415-899-9805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERIHEALTHSOLUTIONS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2009-01-06",
        "status": "A",
        "authorized_official_last_name": "BAKERJIAN",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "415-899-9800",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CA",
            "license": "4924",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CA",
            "license": "8749",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CA",
            "license": "8750",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CA",
            "license": "294",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CA",
            "license": "11529",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CA",
            "license": "10022",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CA",
            "license": "10811",
            "primary": false
        },
        {
            "code": "364SG0600X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Gerontology",
            "state": "CA",
            "license": "13815",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GNP000180",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "geriHEALTHcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Novato, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2009; 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.