Individual provider Active NPI

Linda Gerrits, MD

  • Internal Medicine Physician
  • Westlake Village, CA
National Provider Identifier
1598875072
Registry record updated Jan 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G55503 Issued in CA
Practice address
1220 La Venta Dr
Suite 207
Westlake Village, CA 91361-3703
Phone
(805) 494-7710
Fax
(805) 494-7793
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2015

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 G55503 CA Primary
Nephrology Physician 207RN0300X G55503 CA

Addresses

Primary practice location

1220 La Venta Dr
Suite 207
Westlake Village, CA 91361-3703

Mailing address

1220 Laventa #207
Westlake Village, CA 91361-3754
Phone (805) 494-7710

Other identifiers 1

IdentifierTypeStateIssuer
00G555030MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20080206000711 CA Practitioner - Internal MedicinePractitioner - NephrologyPractitioner - Infectious Disease 1254414766 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
Education
University of Michigan Medical School, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1220 La Venta Dr
Suite 207
Westlake Village, CA 91361-3754
Phone (805) 494-7710

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G55503CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Linda Gerrits M D Inc a Professional Corp Nephrology CurrentSince Jun 20, 2009 Accepting new patients
Los Robles Regional Medical Center Past Accepting new patients

Locations

1220 La Venta Dr
Ste 207
Westlake Vlg, CA 91361
Phone (805) 494-7710

Organizations & group practices 2

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 2

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422403200000",
    "number": "1598875072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 LAVENTA #207",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913613754",
            "telephone_number": "805-494-7710",
            "fax_number": "805-494-7793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 LA VENTA DR",
            "address_2": "SUITE 207",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913613703",
            "telephone_number": "805-494-7710",
            "fax_number": "805-494-7793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERRITS",
        "first_name": "LINDA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2015-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G55503",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "G55503",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G555030",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake Village, CA

Sources for this page

Verify at the official NPI Registry.