Geraldine Rubini Nair O'Mara, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DDS106221 Issued in CA

Practice address

4403 Marlborough Ave
San Diego, CA 92116-4727

Phone

(619) 282-7060

NPI assigned

Jun 15, 2020

Sex

Female

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": "1592179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649635200000",
    "number": "1881219897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4403 MARLBOROUGH AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921164727",
            "telephone_number": "619-282-7060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4403 MARLBOROUGH AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921164727",
            "telephone_number": "619-282-7060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'MARA",
        "first_name": "GERALDINE",
        "middle_name": "RUBINI NAIR",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-15",
        "last_updated": "2022-04-11",
        "certification_date": "2022-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DDS106221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah A O'Leary
• Brian J. O'Loughlin, MD
• Brian John O'Loughlin, M.D.
• Liberty O'Mahony, BCBA
• Daniel John O'Malley, OTR/L
• Robert John O'Mara, PA-C
• Melanie Lynn O'Mea-Smith, OTR/L
• E. Warren O'Meara, PH.D.
• Lauren Ashley O'Neal, LMFT
• Mayte O'Neal

• General Practice Dentistry in San Diego, CA
• Providers in San Diego, 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 Apr 11, 2022; 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.