Organization Active NPI

Gerdez Professional Services

  • Orthopedic Physical Therapist
  • San Diego, CA
National Provider Identifier
1942440565
Registry record updated Jan 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
Legal business name
GERDEZ PROFESSIONAL SERVICES
Practice address
6367 Alvarado CT
Suite 201
San Diego, CA 92120-4915
Phone
(619) 583-7339
Fax
(619) 287-1662
NPI assigned
Feb 22, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2010

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

Authorized official

Name
Mrs. Sandra Jeter, MSW
Title
President
Phone
(858) 882-7173

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251X0800X Primary

Addresses

Primary practice location

6367 Alvarado CT
Suite 201
San Diego, CA 92120-4915

Mailing address

6367 Alvarado CT
Suite 201
San Diego, CA 92120-4915

National Provider Directory

National Provider Directory

Locations

6367 Alvarado Ct
Ste 201
San Diego, CA 92120
Phone (619) 583-7339

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1235260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264636800000",
    "number": "1942440565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6367 ALVARADO CT",
            "address_2": "SUITE 201",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921204915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6367 ALVARADO CT",
            "address_2": "SUITE 201",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921204915",
            "telephone_number": "619-583-7339",
            "fax_number": "619-287-1662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERDEZ PROFESSIONAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-22",
        "last_updated": "2010-01-28",
        "status": "A",
        "authorized_official_last_name": "JETER",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-882-7173",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "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 Jan 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.