Individual provider Active NPI

Lorie A. Gearhart, MD

  • Psychiatry Physician
  • Capitola, CA
National Provider Identifier
1619006954
Registry record updated May 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A97994 Issued in CA
Practice address
820 Bay Ave Ste 206
Capitola, CA 95010-2102
Phone
(831) 427-3100
Fax
(831) 515-7037
NPI assigned
Mar 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A97994 CA Primary
Student in an Organized Health Care Education/Training Program 390200000X
Forensic Psychiatry Physician 2084F0202X A97994 CA

Addresses

Primary practice location

820 Bay Ave Ste 206
Capitola, CA 95010-2102

Mailing address

820 Bay Ave Ste 206
Capitola, CA 95010-2102
Phone (831) 246-6392

Other identifiers 5

IdentifierTypeStateIssuer
FHC70042FMedicaidCA
FHC70044FMedicaidCA
ZZZ91891ZOtherCASANTA CRUZ COUNTY MEDICARE GROUP
ZZZ92069ZOtherCASANTA CRUZ COUNTY MEDICARE GROUP
ZZZ91892ZOtherCASANTA CRUZ COUNTY MEDICARE GROUP

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
I20090409000152 CA Practitioner - PsychiatryPractitioner - Other (Physician) 3173670106

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A97994CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ronald James Sager MD Inc Psychiatry CurrentSince Oct 24, 2021 Accepting new patients
Dignity Health Past Accepting new patients
Puentes Al Sur Past Accepting new patients

Locations

820 Bay Ave
Ste 206
Capitola, CA 95010
Phone (831) 427-3100

1663 Dominican Way
Ste 214
Santa Cruz, CA 95065
Phone (831) 713-5011

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1172966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778803200000",
    "number": "1619006954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 BAY AVE STE 206",
            "city": "CAPITOLA",
            "state": "CA",
            "postal_code": "950102102",
            "telephone_number": "831-246-6392",
            "fax_number": "831-600-7528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 BAY AVE STE 206",
            "city": "CAPITOLA",
            "state": "CA",
            "postal_code": "950102102",
            "telephone_number": "831-427-3100",
            "fax_number": "831-515-7037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEARHART",
        "first_name": "LORIE",
        "middle_name": "A.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-04",
        "last_updated": "2026-05-15",
        "certification_date": "2026-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A97994",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084F0202X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": "CA",
            "license": "A97994",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "FHC70042F",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "FHC70044F",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SANTA CRUZ COUNTY MEDICARE GROUP",
            "identifier": "ZZZ91891Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SANTA CRUZ COUNTY MEDICARE GROUP",
            "identifier": "ZZZ92069Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SANTA CRUZ COUNTY MEDICARE GROUP",
            "identifier": "ZZZ91892Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Capitola, CA

Sources for this page

Verify at the official NPI Registry.