Active NPI
Jeremidave Gerona
- Physical Therapy Assistant
- Hayward, CA
National Provider Identifier
1295671626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 52302
- Practice address
- 27200 Calaroga Ave
Hayward, CA 94545-4339 - Phone
- (510) 264-4000
- NPI assigned
- Apr 27, 2026
- Last updated
- Apr 27, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 52302 | CA | Primary |
Addresses
Primary practice location
27200 Calaroga Ave
Hayward, CA 94545-4339
Mailing address
634 Tudor Rd
San Leandro, CA 94577-1229
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 52302 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1777248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777248000000",
"number": "1295671626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "634 TUDOR RD",
"city": "SAN LEANDRO",
"state": "CA",
"postal_code": "945771229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27200 CALAROGA AVE",
"city": "HAYWARD",
"state": "CA",
"postal_code": "945454339",
"telephone_number": "510-264-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERONA",
"first_name": "JEREMIDAVE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-04-27",
"last_updated": "2026-04-27",
"certification_date": "2026-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "CA",
"license": "52302",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hayward, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.