NPIMap

Organization Active NPI

Ronaldo E Fermin DMD Inc

Doing business as Gellert Dental Office

  • General Practice Dentistry
  • South San Francisco, CA
National Provider Identifier
1427198043
Registry record updated Jul 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
35880 Issued in CA
Legal business name
RONALDO E FERMIN DMD INC
Doing business as
Gellert Dental Office
Practice address
2400 Westborough Blvd Ste 104
South San Francisco, CA 94080-5402
Phone
(650) 878-1033
Fax
(650) 878-1031
NPI assigned
Feb 7, 2007
Organization subpart
Yes
Parent organization
RONALDO E FERMIN DMD INC DBA GELLERT DENTAL OFFICEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 13, 2020

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

Authorized official

Name
Dr. Alicia B Fermin, DMDNPI 1912931981
Title
Co Owner Dentist Administrator and
Phone
(650) 878-1033

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 35880 CA Primary

Addresses

Primary practice location

2400 Westborough Blvd Ste 104
South San Francisco, CA 94080-5402

Mailing address

2400 Westborough Blvd Ste 104
South San Francisco, CA 94080-5402
Phone (650) 878-1033

Other identifiers 1

IdentifierTypeStateIssuer
G9080201OtherCADENTICAL PROVIDER NO

Other names 1

  • Gellert Dental Office Doing business as

National Provider Directory

National Provider Directory
Part of
Ronaldo E Fermin DMD Inc

Locations

2400 Westborough Blvd
Ste 104
South San Francisco, CA 94080
Phone (650) 878-1033

2237 Gellert Blvd
South San Francisco, CA 94080
Phone (650) 878-1033

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594598400000",
    "number": "1427198043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 WESTBOROUGH BLVD STE 104",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940805402",
            "telephone_number": "650-878-1033",
            "fax_number": "650-878-1031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 WESTBOROUGH BLVD STE 104",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940805402",
            "telephone_number": "650-878-1033",
            "fax_number": "650-878-1031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALDO E FERMIN DMD INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RONALDO E FERMIN DMD INC DBA GELLERT DENTAL OFFICE",
        "enumeration_date": "2007-02-07",
        "last_updated": "2020-07-13",
        "certification_date": "2020-07-13",
        "status": "A",
        "authorized_official_last_name": "FERMIN",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CO OWNER DENTIST ADMINISTRATOR AND",
        "authorized_official_telephone_number": "650-878-1033",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "35880",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTICAL PROVIDER NO",
            "identifier": "G9080201",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gellert Dental Office",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Gellert Dental Office",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in South San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2020; 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.