Individual provider Active NPI

Dana Serene Ger, M.D.

  • Emergency Medicine Physician
  • Williams, AZ
National Provider Identifier
1780694802
Registry record updated Feb 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
68028 Issued in AZ
Practice address
300 S 6TH St
Williams, AZ 86046-0110
Phone
(949) 270-2100
Fax
(949) 650-4458
NPI assigned
Aug 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X A71865 CA
Family Medicine Physician 207Q00000X A71865 CA
Occupational Medicine Physician 2083X0100X A71865 CA
Emergency Medicine Physician 207P00000X 68028 AZ Primary

Addresses

Primary practice location

300 S 6TH St
Williams, AZ 86046-0110

Mailing address

20151 SW Birch Street, Suite 100
Newport Beach, CA 92660-1794
Phone (949) 270-2100

Other practice location 1

307 Placentia Ave Ste 107
Newport Beach, CA 92663-3307
Phone (949) 270-2100

Other practice location 2

2176 Salk Ave
Carlsbad, CA 92008-7346
Phone (949) 270-2100

Other identifiers 2

IdentifierTypeStateIssuer
152515MedicaidAZ
00A718650MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20221206001632 AZ Practitioner - Emergency Medicine 5597917781
I20250115001108 CA Practitioner - Emergency Medicine 5597917781 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Jefferson Medical College of Thomas Jefferson University, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Irvine, CA 92618
Phone (646) 396-0527

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A71865CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Country Healthcare, Inc. Current Accepting new patients
Share Our Selves Corporation Current Accepting new patients
Share Our Selves Corporation CurrentSince Nov 7, 2024 Accepting new patients
North Country Healthcare, Inc. CurrentSince Jan 1, 2023 Accepting new patients
North Country Healthcare, Inc. Family Medicine Current Accepting new patients
North Country Healthcare, Inc. CurrentSince Jan 1, 2023 Accepting new patients
Share Our Selves Corporation CurrentSince Nov 7, 2024 Accepting new patients
Scripps Health Current Accepting new patients

Locations

300 S 6th St
Williams, AZ 86046
Phone (928) 635-4441

620 Lee St
Winslow, AZ 86047
Phone (928) 288-8700

1550 Superior Ave
Costa Mesa, CA 92627
Phone (949) 650-0186

9888 Genesee Ave
La Jolla, CA 92037
Phone (858) 457-4123

27725 Santa Margarita Pkwy
Ste 101
Mission Viejo, CA 92691
Phone (949) 462-3999

20151 SW Birch St
Ste 100
Newport Beach, CA 92660

307 Placentia Ave
Ste 107
Newport Beach, CA 92663
Phone (949) 270-2153

10790 Rancho Bernardo Rd
San Diego, CA 92127
Phone (858) 554-2626

4275 Campus Point Ct
San Diego, CA 92121
Phone (858) 336-8490

4275 Campus Point Ct
#2
San Diego, CA 92121

Interoperability endpoints

  • Direct secure messaging: dana.ger.p56@direct.medcor.nextgenshare.com
  • Direct secure messaging: dger10594@scrippshlth.medalliesdirect.net

Organizations & group practices 9

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": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708992000000",
    "number": "1780694802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20151 SW BIRCH STREET, SUITE 100",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926601794",
            "telephone_number": "949-270-2100",
            "fax_number": "949-650-4458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S 6TH ST",
            "city": "WILLIAMS",
            "state": "AZ",
            "postal_code": "860460110",
            "telephone_number": "949-270-2100",
            "fax_number": "949-650-4458"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "307 Placentia Ave Ste 107",
            "address_purpose": "LOCATION",
            "city": "Newport Beach",
            "state": "CA",
            "postal_code": "926633307",
            "country_code": "US",
            "telephone_number": "949-270-2100",
            "fax_number": "949-650-4458",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2176 Salk Ave",
            "address_purpose": "LOCATION",
            "city": "Carlsbad",
            "state": "CA",
            "postal_code": "920087346",
            "country_code": "US",
            "telephone_number": "949-270-2100",
            "fax_number": "949-650-4458",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GER",
        "first_name": "DANA",
        "middle_name": "SERENE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-09",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A71865",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A71865",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "CA",
            "license": "A71865",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AZ",
            "license": "68028",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "152515",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A718650",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williams, AZ

Sources for this page

Verify at the official NPI Registry.