Active NPI
Gerard Demers, D.O.
- Emergency Medicine Physician
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 20A11662
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, VI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
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
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
- Marshfield Medical Center - Beaver Dam (MMC-BD)
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A11662 | CA | MD | Emergency Medicine Physician |
| 02002377A | IN | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Governor Juan F. Luis Hospital & Medical Center | Current | Accepting new patients | |
| Providence Medical Foundation | Current | Accepting new patients | |
| Providence Medical Foundation | Current | Accepting new patients | |
| Sharp Rees-Stealy Medical Group, Inc | Emergency Medicine | Current | Accepting new patients |
| Sharp Rees-Stealy Medical Group, Inc | Current | Accepting new patients | |
| Governor Juan F. Luis Hospital & Medical Center | Current | Accepting new patients | |
| Providence Medical Foundation | Current | Accepting new patients | |
| Ihc Beaver Dam Emergency Physicians, LLC | Emergency Medicine | Current | 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
- 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.
-
- Internal Medicine Physician
- San Diego, CA
- NPI 1285616177
Emergency Medicine
-
- Emergency Medicine Physician
- Beaver Dam, WI
- NPI 1912109836
-
- Family Medicine Physician
- Brea, CA
- NPI 1871607762
-
- General Acute Care Hospital
- Christiansted, St. Croix, VI
- NPI 1972503647
-
- General Practice Physician
- Diamond Bar, CA
- NPI 1285890624
-
- Surgery Physician
- Eureka, CA
- NPI 1477790517
-
- Family Medicine Physician
- Anaheim, CA
- NPI 1639715709
-
- Optometrist
- San Diego, CA
- NPI 1063172351
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- St Croix, VI
- NPI 1740238534
-
- Skilled Nursing Facility
- Chula Vista, CA
- NPI 1538142369
-
- Rehabilitation Hospital Unit
- San Diego, CA
- NPI 1114901352
-
- Physical Therapist
- Chula Vista, CA
- NPI 1407096589
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Infusion Therapy Pharmacy
- Eureka, CA
- NPI 1568422319
Hospital
-
- General Acute Care Hospital
- Eureka, CA
- NPI 1609858950
-
- General Acute Care Hospital
- Eureka, CA
- NPI 1891900635
-
- General Acute Care Hospital
- Beaver Dam, WI
- NPI 1023187416
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.