Individual provider Active NPI

Marsha Anne Hatem Gerro, M.D.

  • Pediatrics Physician
  • Burbank, CA
National Provider Identifier
1306901087
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
G43078 Issued in CA
Practice address
303 S Glenoaks Blvd
Suite 3
Burbank, CA 91502-1319
Phone
(818) 842-5555
Fax
(818) 842-0355
NPI assigned
Dec 24, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X G43078 CA Primary

Addresses

Primary practice location

303 S Glenoaks Blvd
Suite 3
Burbank, CA 91502-1319

Mailing address

303 S Glenoaks Blvd
Suite 3
Burbank, CA 91502-1319
Phone (818) 842-5555

Other names 1

  • Dr. Marsha Anne Hatem Former name

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G43078CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Childrens Hospital of Los Angeles Past Accepting new patients
Providence Health System - Southern California Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1166918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306901087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 S GLENOAKS BLVD",
            "address_2": "SUITE 3",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915021319",
            "telephone_number": "818-842-5555",
            "fax_number": "818-842-0355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 S GLENOAKS BLVD",
            "address_2": "SUITE 3",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915021319",
            "telephone_number": "818-842-5555",
            "fax_number": "818-842-0355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERRO",
        "first_name": "MARSHA",
        "middle_name": "ANNE HATEM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "G43078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARSHA",
            "last_name": "HATEM",
            "middle_name": "ANNE",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Burbank, CA

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.