Aldrin Garrido Geronga, F.N.P.

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

23574 Issued in CA

Practice address

39350 Civic Center Dr
Suite 260
Fremont, CA 94538-2343

Phone

(510) 931-4310

NPI assigned

Oct 29, 2013

Last updated

Aug 29, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Enrolled in CA

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Harbor Wound Care P CGroup PAC ID 0042704504, 29 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Harbor Wound Care P.C.

  • General Practice Physician
  • Colton, CA
  • NPI 1427922392
  Medicare reassignment Care Compare group
• West Coast Veins and Vascular Inc

  • Cardiovascular Disease Physician
  • Fremont, CA
  • NPI 1205400918
  NPD (past)

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

{
    "created_epoch": "1383004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503964800000",
    "number": "1285062257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "923 WALNUT ST",
            "address_2": "UNIT A",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945014921",
            "telephone_number": "510-552-1121",
            "fax_number": "510-864-0944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39350 CIVIC CENTER DR",
            "address_2": "SUITE 260",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945382343",
            "telephone_number": "510-931-4310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERONGA",
        "first_name": "ALDRIN",
        "middle_name": "GARRIDO",
        "credential": "F.N.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-10-29",
        "last_updated": "2017-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "23574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gentle Healing Trauma Psychotherapy (Gentle Healing Space)
• Emily Ruthanne Gentry, PA-C
• Nicole George
• Shiny Varghese George, RN, MSN
• Gabrielle Lizabeth Gering, DC
• Rosalie S. Geronimo, DMD.
• Kevin Gersten, MD
• Georgann Gervasi-Lyttkens, PA-C, R.D.C.S.,R.V.T
• Masoud Ghafoer
• Tearsa Lorene Ghan

• Nurse Practitioner in Fremont, CA
• Providers in Fremont, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2017; 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.

Verify at the official NPI Registry.