Organization Active NPI

Douglas D Gerstein, MD, Inc

  • Ophthalmology Physician
  • San Rafael, CA
National Provider Identifier
1356506653
Registry record updated Jul 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G24353 Issued in CA
Legal business name
DOUGLAS D GERSTEIN, MD, INC
Practice address
49 Dunfries Ter
San Rafael, CA 94901-2415
Phone
(415) 306-6779
Fax
(415) 459-7788
NPI assigned
Jul 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2008

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

Authorized official

Name
Dr. Douglas David Gerstein, MD
Title
Director
Phone
(415) 306-6779

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X G24353 CA Primary

Addresses

Primary practice location

49 Dunfries Ter
San Rafael, CA 94901-2415

Mailing address

49 Dunfries Ter
San Rafael, CA 94901-2415
Phone (415) 306-6779

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1216944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216944000000",
    "number": "1356506653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 DUNFRIES TER",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949012415",
            "telephone_number": "415-306-6779",
            "fax_number": "415-459-7788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 DUNFRIES TER",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949012415",
            "telephone_number": "415-306-6779",
            "fax_number": "415-459-7788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS D GERSTEIN, MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-25",
        "last_updated": "2008-07-25",
        "status": "A",
        "authorized_official_last_name": "GERSTEIN",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "415-306-6779",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G24353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Rafael, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2008; 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.