Individual provider Active NPI

Gerard Demers, D.O.

  • Emergency Medicine Physician
  • San Diego, CA
National Provider Identifier
1487626032
Registry record updated Jan 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
20A11662 Issued in CA
Practice address
34800 Bob Wilson Dr
Nmcsd- Emergency Department-Suite 118
San Diego, CA 92134-1005
Phone
(619) 532-8276
NPI assigned
Feb 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 02002377A IN
Emergency Medicine Physician 207P00000X 20A11662 CA Primary

Addresses

Primary practice location

34800 Bob Wilson Dr
Nmcsd- Emergency Department-Suite 118
San Diego, CA 92134-1005

Mailing address

3776 Mactibby St
San Diego, CA 92117-6136

Other practice location 1

900 W Clairemont Ave
Eau Claire, WI 54701-6122
Phone (715) 717-4121

Other practice location 2

2661 County Highway I
Chippewa Falls, WI 54729-5407
Phone (715) 723-1811

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, WI, VI3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20110915000701 CA Practitioner - Emergency Medicine 2668643016 Reassigns benefits to 2 organizations
I20140610000553 WI Practitioner - Emergency Medicine 2668643016 Reassigns benefits to 1 organization
I20210720002243 VI Practitioner - Emergency Medicine 2668643016 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Rowan University School of Osteopathic Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sharp Rees-Stealy Medical Group IncGroup PAC ID 8628972759, 872 clinicians
Providence Medical FoundationGroup PAC ID 8921993205, 1,461 clinicians
Ihc Beaver Dam Emergency Physicians, LLCGroup PAC ID 8123129657, 24 clinicians

Practice addresses (Care Compare)

16899 W Bernardo Dr
San Diego, CA 92127-1603
Phone (858) 499-2600

2700 Dolbeer St
Eureka, CA 95501-4736
Phone (707) 445-8121

707 S University Ave
Beaver Dam, WI 53916-3027
Phone (954) 939-5000

Hospital & facility affiliations

  • Providence St Joseph Hospital Hospital, Eureka, CA, CCN 050006
  • Marshfield Medical Center - Beaver Dam (MMC-BD) Hospital, Beaver Dam, WI, CCN 520076

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A11662CAMDEmergency Medicine Physician
02002377AINMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Governor Juan F. Luis Hospital & Medical Center CurrentSince Jun 30, 2021 Accepting new patients
Providence Medical Foundation Current Accepting new patients
Providence Medical Foundation CurrentSince Apr 1, 2024 Accepting new patients
Sharp Rees-Stealy Medical Group, Inc Emergency Medicine CurrentSince Mar 12, 2019 Accepting new patients
Sharp Rees-Stealy Medical Group, Inc CurrentSince Mar 12, 2019 Accepting new patients
Governor Juan F. Luis Hospital & Medical Center CurrentSince Jun 30, 2021 Accepting new patients
Providence Medical Foundation CurrentSince Apr 1, 2024 Accepting new patients
Ihc Beaver Dam Emergency Physicians, LLC Emergency Medicine CurrentSince Mar 1, 2024 Accepting new patients
Providence Medical Foundation Past Accepting new patients
Sharp Memorial Hospital Past Accepting new patients
Sharp Chula Vista Medical Center Past Accepting new patients
Sharp Rees-Stealy Medical Center Past Accepting new patients

Locations

2700 Dolbeer St
Eureka, CA 95501
Phone (707) 269-4229

3300 Renner Dr
Fortuna, CA 95540
Phone (707) 725-3361

16899 W Bernardo Dr
San Diego, CA 92127
Phone (858) 499-2705

2020 Genesee Ave
San Diego, CA 92123
Phone (619) 268-9500

1165 Montgomery Dr
#1112
Santa Rosa, CA 95405
Phone (707) 546-3210

500 Doyle Park Dr
Ste 100
Santa Rosa, CA 95405
Phone (714) 449-4842

4007 Estate Diamond Ruby
St Croix, VI 00820
Phone (340) 772-7423

707 S University Ave
Beaver Dam, WI 53916
Phone (920) 887-4006

111 E Wisconsin Ave
Ste 2000
Milwaukee, WI 53202
Phone (414) 290-6700

Interoperability endpoints

  • Direct secure messaging: gdemers24992@sharphealthcare.direct-ci.com

Organizations & group practices 12

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578528000000",
    "number": "1487626032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3776 MACTIBBY ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921176136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34800 BOB WILSON DR",
            "address_2": "NMCSD- EMERGENCY DEPARTMENT-SUITE 118",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921341005",
            "telephone_number": "619-532-8276"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 W Clairemont Ave",
            "address_purpose": "LOCATION",
            "city": "Eau Claire",
            "state": "WI",
            "postal_code": "547016122",
            "country_code": "US",
            "telephone_number": "715-717-4121",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2661 County Highway I",
            "address_purpose": "LOCATION",
            "city": "Chippewa Falls",
            "state": "WI",
            "postal_code": "547295407",
            "country_code": "US",
            "telephone_number": "715-723-1811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEMERS",
        "first_name": "GERARD",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-06",
        "last_updated": "2020-01-09",
        "certification_date": "2020-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "02002377A",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "20A11662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.