NPIMap

Organization Active NPI

Geller Medical Corporation

  • Physical Medicine & Rehabilitation Physician
  • San Diego, CA
National Provider Identifier
1639258239
Registry record updated Mar 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
20A8052 Issued in CA
Legal business name
GELLER MEDICAL CORPORATION
Practice address
611 K St Unit B
PMB#371
San Diego, CA 92101-7091
Phone
(760) 207-2768
Fax
(760) 557-2309
NPI assigned
Nov 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2010

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

Authorized official

Name
Dr. Randall Craig Gregson, D.C.
Title
Clinic Director
Phone
(760) 630-8400

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X DC19135 CA
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X DC25424 CA
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X 20A8052 CA Primary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X PT26629 CA
Physical Therapy AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 225200000X AT2851 CA
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X PA17862 CA

Addresses

Primary practice location

611 K St Unit B
PMB#371
San Diego, CA 92101-7091

Mailing address

465 College Blvd Ste 1
Oceanside, CA 92057-5435
Phone (760) 630-8400

Other names 1

  • United Physicians Group Doing business as

National Provider Directory

National Provider Directory

Locations

611 K St
Ste B
San Diego, CA 92101
Phone (760) 207-2768

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268870400000",
    "number": "1639258239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 COLLEGE BLVD STE 1",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920575435",
            "telephone_number": "760-630-8400",
            "fax_number": "760-630-8594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 K ST UNIT B",
            "address_2": "PMB#371",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921017091",
            "telephone_number": "760-207-2768",
            "fax_number": "760-557-2309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GELLER MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2010-03-18",
        "status": "A",
        "authorized_official_last_name": "GREGSON",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "CRAIG",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "760-630-8400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC19135",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC25424",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "20A8052",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT26629",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "AT2851",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA17862",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "United Physicians Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2010; 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.