NPIMap

Organization Active NPI

Geri Connection

  • Family Medicine Physician
  • Poway, CA
National Provider Identifier
1447976907
Registry record updated Jan 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
GERI CONNECTION
Practice address
15644 Pomerado Rd Ste 202
Poway, CA 92064-2434
Phone
(855) 839-8878
NPI assigned
Oct 17, 2022
Last updated
Jan 4, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2024

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

Authorized official

Name
Teja SinghNPI 1205875606
Title
Owner/MD
Phone
(855) 839-8878

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
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

15644 Pomerado Rd Ste 202
Poway, CA 92064-2434

Mailing address

15644 Pomerado Rd Ste 202
Poway, CA 92064-2434

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221202001861 CA Part B Supplier - Clinic/Group Practice 0446629059 Receives reassigned benefits from 80 practitioners
Practice locations: Poway, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 87

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 87

NPI Registry JSON

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

{
    "created_epoch": "1665964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704326400000",
    "number": "1447976907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15644 POMERADO RD STE 202",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920642434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15644 POMERADO RD STE 202",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920642434",
            "telephone_number": "855-839-8878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERI CONNECTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-17",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A",
        "authorized_official_last_name": "SINGH",
        "authorized_official_first_name": "TEJA",
        "authorized_official_title_or_position": "OWNER/MD",
        "authorized_official_telephone_number": "855-839-8878"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poway, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.