Individual provider Active NPI

Thomas Geraci, DO

  • General Practice Physician
  • San Jose, CA
National Provider Identifier
1952357741
Registry record updated Jan 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
20A5373 Issued in CA
Practice address
1762 Technology Dr Ste 116
San Jose, CA 95110-1307
Phone
(408) 352-5592
Fax
(408) 453-0102
NPI assigned
May 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 3569 AZ
General Practice Physician 208D00000X 767 NV
General Practice Physician 208D00000X 20A5373 CA Primary

Addresses

Primary practice location

1762 Technology Dr Ste 116
San Jose, CA 95110-1307

Mailing address

2670 Babcock Way
Sacramento, CA 95835-1389
Phone (702) 480-8859

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050315001127 CA Practitioner - Emergency MedicinePractitioner - Osteopathic Manipulative Medicine 4587619291 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
3569AZMDClinical Psychologist
3589NVMDGeneral Practice Dentistry
20A5373CAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Santa Clara Current Accepting new patients
County of Santa Clara Emergency Medicine Current Accepting new patients
Permanente Medical Group Inc Emergency Medicine Current Accepting new patients
County of Santa Clara CurrentSince Aug 26, 2020 Accepting new patients
County of Santa Clara CurrentSince Aug 26, 2020 Accepting new patients
Permanente Medical Group, Inc CurrentSince Jun 10, 2018 Accepting new patients
County of Santa Clara CurrentSince Aug 26, 2020 Accepting new patients
Permanente Medical Group Inc Emergency Medicine CurrentSince Jun 10, 2018 Accepting new patients
Summit Brain Health Emergency Medicine CurrentSince Sep 5, 2023 Accepting new patients
County of Santa Clara CurrentSince Aug 26, 2020 Accepting new patients
London Bridge Emergency Physicians Emergency Medicine Past Accepting new patients
Twin Valley Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Emcare Physician Providers Inc Emergency Medicine Past Accepting new patients

Locations

750 Auburn Ravine Rd
Auburn, CA 95603
Phone (530) 823-6131

4753 W Shaw Ave
Ste 101
Fresno, CA 93722
Phone (559) 277-8738

7475 Camino Arroyo
Gilroy, CA 95020
Phone (408) 852-2400

900 N Douty St
Hanford, CA 93230
Phone (559) 587-9014

1777 W Yosemite Ave
Manteca, CA 95337
Phone (209) 825-3555

1721 W Yosemite Ave
Manteca, CA 95337
Phone (209) 476-2000

101 Monroe St
Petaluma, CA 94954
Phone (707) 763-4109

1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015

901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500

930 W Main St
Ripon, CA 95366
Phone (209) 599-4221

2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000

751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110

1996 Lundy Ave
San Jose, CA 95131
Phone (408) 299-5846

2101 Alexian Dr
San Jose, CA 95116
Phone (408) 272-6050

1993 McKee Rd
San Jose, CA 95116
Phone (408) 254-6320

750 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-2320

1762 Technology Dr
Ste 116
San Jose, CA 95110
Phone (408) 352-5592

500 Tully Rd
San Jose, CA 95111
Phone (408) 817-1433

710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400

5615 Scotts Valley Dr
Scotts Valley, CA 95066
Phone (831) 430-2700

7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000

660 S Fair Oaks Ave
Sunnyvale, CA 94086
Phone (408) 885-7366

975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000

320 N Crawford St
Willows, CA 95988
Phone (530) 934-2834

7220 S Cimarron Rd
Ste 110
Las Vegas, NV 89113
Phone (949) 365-6908

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704326400000",
    "number": "1952357741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2670 BABCOCK WAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958351389",
            "telephone_number": "702-480-8859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1762 TECHNOLOGY DR STE 116",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951101307",
            "telephone_number": "408-352-5592",
            "fax_number": "408-453-0102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERACI",
        "first_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2024-01-04",
        "certification_date": "2023-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "AZ",
            "license": "3569",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NV",
            "license": "767",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "20A5373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.