Active NPI
Geoffrey David Gerstein, LPT
- Case Manager/Care Coordinator
- Lake Elsinore, CA
National Provider Identifier
1497839062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 31946 Mission TRL Ste B
Lake Elsinore, CA 92530-4539 - Phone
- (951) 471-4300
- Fax
- (951) 674-6431
- NPI assigned
- Oct 24, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
31946 Mission TRL Ste B
Lake Elsinore, CA 92530-4539
Mailing address
31946 Mission TRL Ste B
Lake Elsinore, CA 92530-4539
Phone (951) 471-4300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626825600000",
"number": "1497839062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31946 MISSION TRL STE B",
"city": "LAKE ELSINORE",
"state": "CA",
"postal_code": "925304539",
"telephone_number": "951-471-4300",
"fax_number": "951-674-6431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31946 MISSION TRL STE B",
"city": "LAKE ELSINORE",
"state": "CA",
"postal_code": "925304539",
"telephone_number": "951-471-4300",
"fax_number": "951-674-6431"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERSTEIN",
"first_name": "GEOFFREY",
"middle_name": "DAVID",
"credential": "LPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-24",
"last_updated": "2021-07-21",
"certification_date": "2021-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Elsinore, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.