Gerald Blake, MD

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

Legal business name

GERALD BLAKE, MD

Practice address

1738 North D Street
San Bernardino, CA 92405

Phone

(909) 882-3962

NPI assigned

May 21, 2007

Organization subpart

No

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

Authorized official

Name

Gerald Blake, MD

Title

MD

Phone

(909) 882-3962

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629287578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1738 NORTH D STREET",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "92405",
            "telephone_number": "909-882-3962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1738 NORTH D STREET",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "92405",
            "telephone_number": "909-882-3962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERALD BLAKE, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BLAKE",
        "authorized_official_first_name": "GERALD",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "909-882-3962",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marx Genovez, M.D.
• Gentle Touch Medical Supply
• Genus Home Care of San Bernardino
• George Mousa MD Prof Inc
• Julie Georgulas
• Itzel A Gerardo Perez
• Joshua Joseph Gernes
• Keith Gers
• Mallory Gers
• Gevork Gevanyan

• Endocrinology, Diabetes & Metabolism Physician in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Endocrinology, Diabetes & Metabolism Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.