Organization Active NPI

Victoria Gerken M.D., Inc

  • Specialist
  • Visalia, CA
National Provider Identifier
1780722603
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G64845 Issued in CA
Legal business name
VICTORIA GERKEN M.D., INC
Practice address
5533 W Hillsdale Ave # C
Visalia, CA 93291-5138
Phone
(559) 732-5290
NPI assigned
Feb 2, 2007
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
Mrs. Florence A Duran
Title
Billing Supervisor
Phone
(559) 732-5290

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X G64845 CA Primary

Addresses

Primary practice location

5533 W Hillsdale Ave # C
Visalia, CA 93291-5138

Mailing address

5533 W Hillsdale Ave # C
Visalia, CA 93291-5138
Phone (559) 732-5290

Other identifiers 2

IdentifierTypeStateIssuer
00G648450MedicaidCA
ZZZ02543ZOtherCABLUE SHIELD GROUP NUMBER

National Provider Directory

National Provider Directory

Locations

5533 W Hillsdale Ave
Ste C
Visalia, CA 93291
Phone (559) 622-8500

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780722603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5533 W HILLSDALE AVE # C",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932915138",
            "telephone_number": "559-732-5290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5533 W HILLSDALE AVE # C",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932915138",
            "telephone_number": "559-732-5290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORIA GERKEN M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DURAN",
        "authorized_official_first_name": "FLORENCE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "559-732-5290",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G64845",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G648450",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD GROUP NUMBER",
            "identifier": "ZZZ02543Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Visalia, 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.