Individual provider Active NPI

Samuel Jeffrey Gerson, M.D.

  • Internal Medicine Physician
  • San Diego, CA
National Provider Identifier
1881843431
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A116916 Issued in CA
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, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110809000103 CA Practitioner - Emergency Medicine 2163691155 Reassigns benefits to 2 organizations

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
Marque Medical Clinic, Inc.Group PAC ID 9537345665, 21 clinicians

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

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A116916CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Marque Medical Clinic, Inc CurrentSince Dec 10, 2022 Accepting new patients
Socal Medical Clinics Single Specialty CurrentSince May 3, 2025 Accepting new patients
Marque Medical Clinic, Inc. Single Specialty CurrentSince Dec 10, 2022 Accepting new patients
Doctors Now LLC Past Accepting new patients
Performance Medical Management, Inc PastSince Oct 31, 2021 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.

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

Verify at the official NPI Registry.