Albert Geller, M.D.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

C31765 Issued in CA

Practice address

100 S Ellsworth Ave Ste 308
San Mateo, CA 94401-3931

Phone

(650) 344-6896

Fax

(650) 344-2794

NPI assigned

Jul 20, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821018771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S ELLSWORTH AVE STE 308",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944013931",
            "telephone_number": "650-344-6896",
            "fax_number": "650-344-2794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S ELLSWORTH AVE STE 308",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944013931",
            "telephone_number": "650-344-6896",
            "fax_number": "650-344-2794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GELLER",
        "first_name": "ALBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "C31765",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ80557Z",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C317650",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paulina Gaxiola
• Randall Lawrence Gaynor, MD
• Denise Gaytan, LVM
• Beatrice Lourdes Gee
• Maura Gegenwarth
• Roberta Gelt, MFT
• Matthew Geltmaker, LCSW
• Gene Piver,M.F.T.
• Genevieve Dee DDS
• Marie George

• Otolaryngology Physician in San Mateo, CA
• Providers in San Mateo, CA by specialty
• Otolaryngology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.