Michael Karl Gerbovaz, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

28444 Issued in CA

Practice address

401 Mobil Ave Ste 1
Camarillo, CA 93010-6329

Phone

(805) 482-1994

Fax

(805) 482-9559

NPI assigned

Sep 21, 2007

Last updated

Sep 21, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1190332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190332800000",
    "number": "1841486925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 MOBIL AVE STE 1",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930106329",
            "telephone_number": "805-482-1994",
            "fax_number": "805-482-9559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 MOBIL AVE STE 1",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930106329",
            "telephone_number": "805-482-1994",
            "fax_number": "805-482-9559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERBOVAZ",
        "first_name": "MICHAEL",
        "middle_name": "KARL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-21",
        "last_updated": "2007-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "28444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Jan Genova
• George C. Yu, MD, Inc.
• George Erb Physical Therapy Inc
• Hayley Rebecca George
• Afrouz S. Gerayli, MD
• Megan Gerde
• Sheila Anita Geronimo
• Rebecca Gervasi
• Vincent B Gest, CP, BOCO
• Erin Nicole Ghaffari, RD

• General Practice Dentistry in Camarillo, CA
• Providers in Camarillo, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.