Gerry M. Vander Velde, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

A-115001 Issued in CA

Practice address

9630 Bruceville Rd
Ste 106-186
Elk Grove, CA 95757-5512

Phone

(775) 527-5145

NPI assigned

Jul 31, 2008

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 FL

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Emergency Medicine Services of FL, LLC

  • Emergency Medicine Physician
  • Aventura, FL
  • NPI 1043917180
  Medicare reassignment NPD
• Oakdale Medical Group Inc

  • Emergency Medicine Physician
  • Oakdale, CA
  • NPI 1598862054
  NPD (past)
• Leeland ER SVCS Partnership LLC

  • Emergency Medicine Physician
  • Lehigh Acres, FL
  • NPI 1013965342
  NPD (past)

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

{
    "created_epoch": "1217462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351382400000",
    "number": "1851557722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9630 BRUCEVILLE RD",
            "address_2": "STE 106-186",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957575512",
            "telephone_number": "775-527-5145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9630 BRUCEVILLE RD",
            "address_2": "STE 106-186",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957575512",
            "telephone_number": "775-527-5145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDER VELDE",
        "first_name": "GERRY",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-31",
        "last_updated": "2012-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A-115001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Beth Valtierra, BCBA
• Sarah Ynez Van Buren, LCSW
• Van Dang, D.D.S., a Professional Dental Corporation
• Julia Van Horn, AMFT
• Kristine Grace Dela Cruz Van Tassel, FNP-C
• Vanessa Ulibas
• Mai Ker Vang-Yang, PHARMD
• Amber Vang
• Annita Vang
• Cheng Vang

• Emergency Medicine Physician in Elk Grove, CA
• Providers in Elk Grove, CA by specialty
• Emergency Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2012; 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.