Organization Active NPI

Castle Rock Medical Group

Doing business as hemorrhoid care medical clinic

  • Colon & Rectal Surgery Physician
  • San Diego, CA
National Provider Identifier
1669427506
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
Legal business name
CASTLE ROCK MEDICAL GROUP
Doing business as
hemorrhoid care medical clinic
Practice address
8705 Complex Dr
San Diego, CA 92123-1401
Phone
(858) 565-6000
Fax
(858) 627-0050
NPI assigned
May 22, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Ronald Leroy Gertsch, M.D.NPI 1043356033
Title
Medical Director
Phone
(858) 565-6000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery Physician 208C00000X NU Primary

Addresses

Primary practice location

8705 Complex Dr
San Diego, CA 92123-1401

Mailing address

8705 Complex Dr
San Diego, CA 92123-1401
Phone (858) 565-6000

Other names 1

  • hemorrhoid care medical clinic Doing business as

National Provider Directory

National Provider Directory

Locations

8705 Complex Dr
San Diego, CA 92123
Phone (858) 565-6000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669427506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8705 COMPLEX DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231401",
            "telephone_number": "858-565-6000",
            "fax_number": "858-627-0050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8705 COMPLEX DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231401",
            "telephone_number": "858-565-6000",
            "fax_number": "858-627-0050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASTLE ROCK MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GERTSCH",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "LEROY",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "858-565-6000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "hemorrhoid care medical clinic",
            "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 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.