Gerard Bazile MD a Professional Medical Corporation

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

Legal business name

GERARD BAZILE MD A PROFESSIONAL MEDICAL CORPORATION

Practice address

6699 Alvarado Rd
Suite 2306
San Diego, CA 92120-5238

Phone

(619) 286-0100

Fax

(619) 286-0600

NPI assigned

Jul 29, 2006

Last updated

Jul 11, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Gerard Irvelt Bazile, MDNPI 1184639031

Title

Owner

Phone

(619) 286-0100

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gerard Irvelt Bazile, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • San Diego, CA
  • NPI 1184639031
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405036800000",
    "number": "1952316812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1770",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919441770",
            "telephone_number": "619-464-1165",
            "fax_number": "619-567-1011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6699 ALVARADO RD",
            "address_2": "SUITE 2306",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921205238",
            "telephone_number": "619-286-0100",
            "fax_number": "619-286-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERARD BAZILE MD A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-29",
        "last_updated": "2014-07-11",
        "status": "A",
        "authorized_official_last_name": "BAZILE",
        "authorized_official_first_name": "GERARD",
        "authorized_official_middle_name": "IRVELT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-286-0100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yana Gepshtein, CNM
• Adrienne Frieda Geraci, LCSW
• Gerald Neil Kerr, DDS
• Katherine Geraldi
• Michelle Pegah Gerami, AMFT
• Carolyn Gerard, M.A., MFT
• Holly Gerard, PHARMD
• Robert David Gerardi, IDC
• Alexandra Gerardo
• Andrea Gerardo

• Endocrinology, Diabetes & Metabolism Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Endocrinology, Diabetes & Metabolism Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2014; 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.