Individual provider Active NPI

Nerida S Gerona, RPT

  • Physical Therapist
  • Escondido, CA
National Provider Identifier
1891895611
Registry record updated Jan 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT18929 Issued in CA
Practice address
651 E Pennsylvania Ave
Escondido, CA 92025-3053
Phone
(760) 291-0074
Fax
(760) 291-0076
NPI assigned
Sep 22, 2006
Last updated
Jan 20, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT18929 CA Primary

Addresses

Primary practice location

651 E Pennsylvania Ave
Escondido, CA 92025-3053

Mailing address

10792 Via Cimborio Cir
San Diego, CA 92131-2651
Phone (619) 316-7987

Other identifiers 1

IdentifierTypeStateIssuer
P00232362OtherCARAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050730000084 CA Practitioner - Physical Therapist in Private Practice 7416985528 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pomerado Operations, LLC CurrentSince Jan 28, 2025 Accepting new patients

Locations

12696 Monte Vista Rd
Poway, CA 92064
Phone (858) 220-1907

Organizations & group practices 1

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": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232409600000",
    "number": "1891895611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10792 VIA CIMBORIO CIR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921312651",
            "telephone_number": "619-316-7987",
            "fax_number": "760-291-0076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 E PENNSYLVANIA AVE",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920253053",
            "telephone_number": "760-291-0074",
            "fax_number": "760-291-0076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERONA",
        "first_name": "NERIDA",
        "middle_name": "S",
        "credential": "RPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-22",
        "last_updated": "2009-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT18929",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00232362",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Escondido, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.