Individual provider Active NPI

Gerardo Canedo Jr.

  • Hospitalist Physician
  • Sacramento, CA
National Provider Identifier
1588068969
Registry record updated Jul 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
A151734 Issued in CA
Practice address
4150 V St # 1100
Sacramento, CA 95817-1460
Phone
(916) 734-2737
NPI assigned
Oct 14, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A151734 CA
Student in an Organized Health Care Education/Training Program 390200000X
Hospitalist Physician 208M00000X A151734 CA Primary

Addresses

Primary practice location

4150 V St # 1100
Sacramento, CA 95817-1460

Mailing address

4150 V St # 1100
Sacramento, CA 95817-1460
Phone (916) 734-2737

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, IN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190731002342 CA Practitioner - Hospitalist 3072875350 Reassigns benefits to 4 organizations
I20220210002654 IN Practitioner - Hospitalist 3072875350 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
University of California, Davis School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Apex Multispecialty Medical Group IncGroup PAC ID 3375978497, 10 clinicians
Genesis Hospitalist Medical Group, Inc.Group PAC ID 2769846328, 11 clinicians

Practice addresses (Care Compare)

600 S San Vicente Blvd
Los Angeles, CA 90048-4653
Phone (310) 873-3312

8700 Beverly Blvd
West Hollywood, CA 90048-1804
Phone (310) 786-7204

Hospital & facility affiliations

  • Progressive 2000 HHC Home health agency, Los Angeles, CA, CCN 058032
  • Oc Home Health Care, Inc Home health agency, Tarzana, CA, CCN 053175
  • Cardea Home Health Home health agency, Encino, CA, CCN 559497
  • Cedars-Sinai Medical Center Hospital, Los Angeles, CA, CCN 050625
  • West Hollywood Healthcare & Wellness Centre, LP Nursing home, Los Angeles, CA, CCN 055710
  • Berkley East Healthcare Center Nursing home, Santa Monica, CA, CCN 555748
  • Brentwood Health Care Center Nursing home, Santa Monica, CA, CCN 055711
  • Ocean Pointe Healthcare Center Nursing home, Santa Monica, CA, CCN 055155
  • Pavilion on Pico Healthcare & Wellness Centre, LP Nursing home, Los Angeles, CA, CCN 055160

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A151734CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Hospitalist Medical Group, Inc. Internal Medicine CurrentSince Sep 1, 2023 Accepting new patients
Galen Inpatient Physicians, PC Internal Medicine CurrentSince Feb 1, 2022 Accepting new patients
Union Hospital Inc. Current Accepting new patients
Menalam Health Services PC Hospitalist CurrentSince Aug 1, 2021 Accepting new patients
Apex Multispecialty Medical Group, Inc CurrentSince Nov 1, 2022 Accepting new patients
Menalam Health Services PC CurrentSince Aug 1, 2021 Accepting new patients
Galen Inpatient Physicians PC Hospitalist CurrentSince Jun 9, 2019 Accepting new patients
Galen Inpatient Physicians Inc Internal Medicine CurrentSince Jun 9, 2019 Accepting new patients
Galen Inpatient Physicians, PC Hospitalist Current Accepting new patients
Sports Medicine Grant, Inc Past Accepting new patients

Locations

9663 Santa Monica Blvd
Beverly Hills, CA 90210
Phone (310) 275-8377

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1509 Wilson Ter
Glendale, CA 91206
Phone (818) 409-8071

115 Mall Dr
Hanford, CA 93230
Phone (559) 537-0550

600 S San Vicente Blvd
Ste 101
Los Angeles, CA 90048
Phone (310) 277-6222

600 S San Vicente Blvd
Los Angeles, CA 90048
Phone (310) 873-3312

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

2978 Sycamore Dr
Simi Valley, CA 93065

2975 Sycamore Dr
Simi Valley, CA 93065
Phone (805) 522-2500

1000 Greenley Rd
Sonora, CA 95370
Phone (209) 263-0803

15248 Eleventh St
Victorville, CA 92395
Phone (760) 245-8691

8700 Beverly Blvd
West Hollywood, CA 90048
Phone (310) 385-3291

1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523

Interoperability endpoints

  • Direct secure messaging: gcanedo1343756@nychhc.direct-ci.com
  • Direct secure messaging: gcanedo@unionhealth.cernerdirect.com
  • Direct secure messaging: gcanedo556022@direct.llu.edu

Organizations & group practices 10

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 10

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": "1413244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562630400000",
    "number": "1588068969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4150 V ST # 1100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958171460",
            "telephone_number": "916-734-2737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 V ST # 1100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958171460",
            "telephone_number": "916-734-2737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANEDO",
        "first_name": "GERARDO",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-10-14",
        "last_updated": "2019-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A151734",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "A151734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.