Individual provider Active NPI

Gerome Medinaceli Gepigon, PA-C

  • Physician Assistant
  • Duarte, CA
National Provider Identifier
1326406224
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
67602 Issued in CA
Practice address
1500 Duarte Rd
Duarte, CA 91010-3012
Phone
(800) 826-4673
NPI assigned
Feb 5, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 67602 CA Primary
Surgical Physician Assistant 363AS0400X 61032719 WA
Surgical Physician Assistant 363AS0400X 6763 CT
Surgical Physician Assistant 363AS0400X 1145 NH

Addresses

Primary practice location

1500 Duarte Rd
Duarte, CA 91010-3012

Mailing address

PO Box 512185
Los Angeles, CA 90051-0185

Other practice location 1

399 Farmington Ave Ste 210
Farmington, CT 06032-1944
Phone (860) 548-7338

Other practice location 2

1 Medical Center Dr
Lebanon, NH 03756-1000
Phone (603) 650-2225

Other practice location 3

12039 NE 128th St Ste 500
Kirkland, WA 98034-3029

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address direct@cityofhope.direct-ci.com Direct CITY OF HOPE MEDICAL FOUNDATION

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, WA, CT, CA4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20160401000798 NH Practitioner - Physician Assistant 6002113222 Reassigns benefits to 2 organizations
I20200402000483 WA Practitioner - Physician Assistant 6002113222 Reassigns benefits to 2 organizations
I20240920000378 CT Practitioner - Physician Assistant 6002113222 Reassigns benefits to 1 organization
I20260223002440 CA Practitioner - Physician Assistant 6002113222 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hartford Healthcare Medical Group Specialists PLLCGroup PAC ID 3173866241, 1,555 clinicians
City of Hope Medical FoundationGroup PAC ID 3779751656, 964 clinicians

Practice addresses (Care Compare)

1244 Storrs Rd
Road
Storrs, CT 06268-2200
Phone (860) 724-2579

1500 Duarte Rd
Duarte, CA 91010-3012
Phone (626) 256-4673

330 Western Blvd
Glastonbury, CT 06033-4383
Phone (860) 696-4380

330 Western Boulevard
Suite 103
Glastonbury, CT 06033-4383
Phone (860) 972-2884

399 Farmington Ave
Lowr Level
Farmington, CT 06032-1936
Phone (860) 278-0079

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.42 of 100Reported as group
Quality
83.36
Promoting interoperability
100
Improvement activities
40
Cost
75.9

Merit-based Incentive Payment System (MIPS)

Final score
86.73 of 100Reported as apm
Quality
73.46
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1145NHMDOccupational Therapist
67602CAMDPhysician Assistant
6763CTMDSurgical Physician Assistant
61032719WAMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
City of Hope Medical Foundation CurrentSince Feb 9, 2026 Accepting new patients
King County Public Hospital District No 2 CurrentSince Apr 1, 2020 Accepting new patients
King County Public Hospital District No. 2 CurrentSince Apr 1, 2020 Accepting new patients
Hartford Healthcare Medical Group Specialists, PLLC Surgical CurrentSince Nov 1, 2024 Accepting new patients
Mary Hitchcock Memorial Hospital CurrentSince Feb 16, 2016 Accepting new patients
Mary Hitchcock Memorial Hospital CurrentSince Feb 16, 2016 Accepting new patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Nov 1, 2024 Accepting new patients
Dartmouth-Hitchcock Clinic CurrentSince Feb 16, 2016 Accepting new patients
Overlake Medical Clinics, LLC CurrentSince Apr 1, 2020 Accepting new patients

Locations

1500 Duarte Rd
Duarte, CA 91010
Phone (626) 359-8111

399 Farmington Ave
Ste 210
Farmington, CT 06032
Phone (860) 548-7338

330 Western Blvd
Fl 2
Glastonbury, CT 06033
Phone (860) 522-4158

1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579

1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977

1 Medical Dr
Lebanon, NH 03756
Phone (603) 650-5922

1750 112th Ave NE
Ste B102
Bellevue, WA 98004
Phone (425) 688-5460

12039 NE 128th St
Ste 300
Kirkland, WA 98034
Phone (425) 899-3123

12039 NE 128th St
Ste 500
Kirkland, WA 98034
Phone (425) 899-1220

Interoperability endpoints

  • Direct secure messaging: ggepigon564152@xdr.hhchealthdirect.org
  • Direct secure messaging: direct@cityofhope.direct-ci.com

Organizations & group practices 10

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1454630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774310400000",
    "number": "1326406224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 512185",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900510185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 DUARTE RD",
            "city": "DUARTE",
            "state": "CA",
            "postal_code": "910103012",
            "telephone_number": "800-826-4673"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "399 Farmington Ave Ste 210",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "CT",
            "postal_code": "060321944",
            "country_code": "US",
            "telephone_number": "860-548-7338",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "NH",
            "postal_code": "037561000",
            "country_code": "US",
            "telephone_number": "603-650-2225",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12039 NE 128th St Ste 500",
            "address_purpose": "LOCATION",
            "city": "Kirkland",
            "state": "WA",
            "postal_code": "980343029",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GEPIGON",
        "first_name": "GEROME",
        "middle_name": "MEDINACELI",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-05",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "67602",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "WA",
            "license": "61032719",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CT",
            "license": "6763",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NH",
            "license": "1145",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@cityofhope.direct-ci.com",
            "affiliation": "Y",
            "affiliationName": "CITY OF HOPE MEDICAL FOUNDATION",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1500 Duarte Rd",
            "city": "Duarte",
            "state": "CA",
            "country_code": "US",
            "postal_code": "910103012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Duarte, CA

Sources for this page

Verify at the official NPI Registry.