Gerald Gollin MD, Inc.

Primary specialty

Pediatric Surgery PhysicianTaxonomy code 2086S0120X

License

G084953 Issued in CA

Legal business name

GERALD GOLLIN MD, INC.

Practice address

317 N El Camino Real
Ste 502
Encinitas, CA 92024-2811

Phone

(760) 634-4090

Fax

(760) 634-4094

NPI assigned

Nov 16, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Gerald Gollin, MD

Title

President

Phone

(909) 633-5238

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1447632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447632000000",
    "number": "1801260773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 N EL CAMINO REAL",
            "address_2": "STE 502",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920242811",
            "telephone_number": "760-634-4090",
            "fax_number": "760-634-4094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 N EL CAMINO REAL",
            "address_2": "STE 502",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920242811",
            "telephone_number": "760-634-4090",
            "fax_number": "760-634-4094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERALD GOLLIN MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-16",
        "last_updated": "2015-11-16",
        "status": "A",
        "authorized_official_last_name": "GOLLIN",
        "authorized_official_first_name": "GERALD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-633-5238",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0120X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Pediatric Surgery",
            "state": "CA",
            "license": "G084953",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1477598662",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Ira Gelb, M.D.
• Alexandra Geller
• Madeline Elyse Gelmetti
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• Toni Bassili Georgiades, D.D.S
• Michele Maria Gerber, M.D.
• Oliver Gertzki, L.AC
• Chelsea Geyer
• Reema Ghatnekar, MD
• Kalani Elizabeth Giese, FNP-C

• Pediatric Surgery Physician in Encinitas, CA
• Providers in Encinitas, CA by specialty
• Pediatric Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2015; 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.