Gerardo Burgos Martin, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A100776 Issued in CA

Practice address

1824 Jake Mills CT
San Diego, CA 92114-7829

Phone

(619) 471-4372

NPI assigned

Jul 25, 2007

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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

• Desert Hospitalist Group Inc

  • Family Medicine Physician
  • Palm Springs, CA
  • NPI 1003355348
  Medicare reassignment NPD Authorized official
• Dr Gerardo B. Martin, Inc a Professional Corporation

  • Family Medicine Physician
  • Palm Springs, CA
  • NPI 1679836464
  NPD Authorized official

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185321600000",
    "number": "1295925360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1824 JAKE MILLS CT",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921147829",
            "telephone_number": "619-471-4372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1824 JAKE MILLS CT",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921147829",
            "telephone_number": "619-471-4372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "GERARDO",
        "middle_name": "BURGOS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-25",
        "last_updated": "2007-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A100776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth A Martin, CCC-SLP
• Emily Spencer Martin, M.S. CCC-SLP, MT-BC
• Erin I Martin, MD
• Felicin Martin
• Frederic R. Martin, M.D.
• Gina Maxine Martin
• Ginger Elkins Martin, L.AC.
• Gisele Martin
• Grant Martin
• Gregory Luis Martin, PTA

• Family Medicine Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.