Active NPI
Andre B Gerard, MD
- Family Medicine Physician
- Healdsburg, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A80160
- Practice address
- 1381 University St
Healdsburg, CA 95448-3314 - Phone
- (707) 433-5494
- Fax
- (707) 431-1427
- NPI assigned
- Jun 27, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A80160 | CA | Primary |
Addresses
Primary practice location
1381 University St
Healdsburg, CA 95448-3314
Mailing address
1381 University St
Healdsburg, CA 95448-3314
Phone (707) 433-5494
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | andregerard@sjhhandhmg.allscriptsdirect.net |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040726001445 | CA | Practitioner - Family Practice | 7113997461 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of California, San Diego School of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
333 Laws Ave
Ukiah, CA 95482-6540
Phone (707) 468-1010
Hospital & facility affiliations
- Adventist Health Ukiah Valley
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A80160 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents Univ of California UCSF | Current | Accepting new patients | |
| Mendocino Community Health Clinic, Inc. | Current | Accepting new patients | |
| Mendocino Community Health Clinic, Inc. | Current | Accepting new patients | |
| Mendocino Community Health Clinic, Inc. | Past | Accepting new patients |
Locations
5335 Lakeshore Blvd
#H
Lakeport, CA 95453
75 Rowland Way
Ste 230
Novato, CA 94945
Phone (415) 683-2988
905 E Washington St
Petaluma, CA 94952
Phone (707) 763-9891
505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058
500 Doyle Park Dr
Ste 100
Santa Rosa, CA 95405
Phone (714) 449-4842
1165 Montgomery Dr
#1112
Santa Rosa, CA 95405
Phone (707) 546-3210
333 Laws Ave
Ukiah, CA 95482
Phone (707) 463-1113
Organizations & group practices 4
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.
-
- Federally Qualified Health Center (FQHC)
- Ukiah, CA
- NPI 1497961106
CA
-
- Federally Qualified Health Center (FQHC)
- Ukiah, CA
- NPI 1356714646
-
- Internal Medicine Physician
- San Francisco, CA
- NPI 1124439807
-
- Federally Qualified Health Center (FQHC)
- Ukiah, CA
- NPI 1811958952
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612137600000",
"number": "1891722500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1381 UNIVERSITY ST",
"city": "HEALDSBURG",
"state": "CA",
"postal_code": "954483314",
"telephone_number": "707-433-5494",
"fax_number": "707-431-1427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1381 UNIVERSITY ST",
"city": "HEALDSBURG",
"state": "CA",
"postal_code": "954483314",
"telephone_number": "707-433-5494",
"fax_number": "707-431-1427"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERARD",
"first_name": "ANDRE",
"middle_name": "B",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-27",
"last_updated": "2021-02-01",
"certification_date": "2021-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A80160",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "andregerard@sjhhandhmg.allscriptsdirect.net",
"affiliation": "N",
"address_1": "510 Doyle Park Dr",
"city": "Santa Rosa",
"state": "CA",
"country_code": "US",
"postal_code": "954054570",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Healdsburg, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2021; 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.