Active NPI
Gerdez Professional Services
- Orthopedic Physical Therapist
- San Diego, CA
National Provider Identifier
1942440565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 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 DirectoryLocations
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.