Individual provider Active NPI

Damian Aloysius Gerkman, PHYSICIAN ASSISTANT

  • Family Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1407583933
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5315235351 Issued in MI
Practice address
10300 Compton Ave
Los Angeles, CA 90002-3628
Phone
(323) 564-4331
Fax
(323) 564-9865
NPI assigned
Aug 4, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 5315235351 MI Primary

Addresses

Primary practice location

10300 Compton Ave
Los Angeles, CA 90002-3628

Mailing address

23700 Orchard Lake Rd Ste M
Farmington Hills, MI 48336-2559
Phone (248) 482-6222

Other practice location 1

23700 Orchard Lake Rd Ste M
Farmington Hills, MI 48336-2559
Phone (248) 482-6222

Other identifiers 2

IdentifierTypeStateIssuer
5315235351OtherMIMICHIGAN STATE LICENSE
PA64311OtherCACALIFORNIA STATE LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL QUESTIONS@POWERSFAMILYMEDICINE.COM Health Information Exchange (HIE)

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260421002250 CA Order and Referring Only - Physician Assistant 7315413812

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5315235351MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Powers Family Medicine PLLC Single Specialty CurrentSince Aug 1, 2022 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: damian.gerkman.1@25557.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/25557/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1659571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738713600000",
    "number": "1407583933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23700 ORCHARD LAKE RD STE M",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483362559",
            "telephone_number": "248-482-6222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10300 COMPTON AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900023628",
            "telephone_number": "323-564-4331",
            "fax_number": "323-564-9865"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23700 Orchard Lake Rd Ste M",
            "address_purpose": "LOCATION",
            "city": "Farmington Hills",
            "state": "MI",
            "postal_code": "483362559",
            "country_code": "US",
            "telephone_number": "248-482-6222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GERKMAN",
        "first_name": "DAMIAN",
        "middle_name": "ALOYSIUS",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-04",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5315235351",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MICHIGAN STATE LICENSE",
            "identifier": "5315235351",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA STATE LICENSE",
            "identifier": "PA64311",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "QUESTIONS@POWERSFAMILYMEDICINE.COM",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "SECURE EHR",
            "address_1": "23700 Orchard Lake Rd Ste M",
            "city": "Farmington Hills",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483362559",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.