Individual provider Active NPI

Marie Jo Geha, MD

  • Internal Medicine Physician
  • San Rafael, CA
National Provider Identifier
1386346641
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A207935 Issued in CA
Practice address
4000 Civic Center Dr Ste 200B
San Rafael, CA 94903-5232
Phone
(415) 492-3333
NPI assigned
Mar 20, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A207935 CA Primary

Addresses

Primary practice location

4000 Civic Center Dr Ste 200B
San Rafael, CA 94903-5232

Mailing address

321 N Mesa St
San Pedro, CA 90731-2119
Phone (310) 918-8707

Other practice location 1

3033 W Orange Ave
Anaheim, CA 92804-3156
Phone (714) 827-3000

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20260601001205 CA Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 5597235598

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1679270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1386346641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 N MESA ST",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907312119",
            "telephone_number": "310-918-8707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 CIVIC CENTER DR STE 200B",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949035232",
            "telephone_number": "415-492-3333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3033 W Orange Ave",
            "address_purpose": "LOCATION",
            "city": "Anaheim",
            "state": "CA",
            "postal_code": "928043156",
            "country_code": "US",
            "telephone_number": "714-827-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GEHA",
        "first_name": "MARIE JO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-20",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A207935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Rafael, CA

Sources for this page

Verify at the official NPI Registry.