Active NPI
Samuel Jeffrey Gerson, M.D.
- Internal Medicine Physician
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A116916
- Practice address
- 2878 Camino del Rio S Ste 220
San Diego, CA 92108-3845 - Phone
- (619) 241-2191
- NPI assigned
- Sep 18, 2008
- Last updated
- Oct 29, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A116916 | CA | Primary |
Addresses
Primary practice location
2878 Camino del Rio S Ste 220
San Diego, CA 92108-3845
Mailing address
13119 Sunstone PT
San Diego, CA 92130-5775
Phone (917) 583-5694
Medicare participation
Medicare enrollment files- 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: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- JS Weill Medical College, Cornell University, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2075 San Joaquin Hills Rd
Newport Beach, CA 92660-6505
Phone (877) 693-6266
21770 Lake Forest Dr
Suite 109
Lake Forest, CA 92630-2751
Phone (877) 693-6266
22461 Antonio Pkwy
Suite A135
Rancho Santa Margarita, CA 92688-2806
Phone (949) 760-9222
26831 Aliso Creek Rd
Suite 200
Aliso Viejo, CA 92656-5341
Phone (949) 760-9222
4085 Governor Dr
San Diego, CA 92122-2522
Phone (949) 760-9222
4490 Fanuel St
Suite 100
San Diego, CA 92109-8737
Phone (949) 760-9222
605 E Palomar St
Suite 103
Chula Vista, CA 91911-6975
Phone (877) 693-6266
6316 Lake Murray Blvd
La Mesa, CA 91942-2502
Phone (949) 760-9222
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A116916 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marque Medical Clinic, Inc | Current | Accepting new patients | |
| Socal Medical Clinics | Single Specialty | Current | Accepting new patients |
| Marque Medical Clinic, Inc. | Single Specialty | Current | Accepting new patients |
| Doctors Now LLC | Past | Accepting new patients | |
| Performance Medical Management, Inc | Past | Accepting new patients |
Locations
21770 LK FRST Dr
Ste 109
Lake Forest, CA 92630
Phone (877) 693-6266
2075 San Joaquin Hills Rd
Newport Beach, CA 92660
Phone (877) 693-6266
2878 Camino del Rio S
Ste 220
San Diego, CA 92108
Phone (619) 209-3696
4490 Fanuel St
Ste 100
San Diego, CA 92109
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Marque Urgent Care, Inc.-Newport Beach
- Urgent Care Clinic/Center
- Newport Beach, CA
- NPI 1538466107
Single Specialty
-
dba Revive Wound Group
- General Practice Physician
- San Diego, CA
- NPI 1467248252
Single Specialty
-
- Urgent Care Clinic/Center
- Chula Vista, CA
- NPI 1164303442
-
dba The Performance Center
- Medical Specialty Clinic/Center
- Rancho Cucamonga, CA
- NPI 1467097121
-
- Urgent Care Clinic/Center
- Hollywood, FL
- NPI 1447616180
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761696000000",
"number": "1881843431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13119 SUNSTONE PT",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921305775",
"telephone_number": "917-583-5694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2878 CAMINO DEL RIO S STE 220",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921083845",
"telephone_number": "619-241-2191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERSON",
"first_name": "SAMUEL",
"middle_name": "JEFFREY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-09-18",
"last_updated": "2025-10-29",
"certification_date": "2025-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A116916",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.