Active NPI
Helena Maria Gerundo, M.D.
- Internal Medicine Physician
- Glendale, CA
National Provider Identifier
1962414219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A36910
- Practice address
- 1530 E Chevy Chase Dr
Suite 107
Glendale, CA 91206-4163 - Phone
- (818) 246-4885
- NPI assigned
- Aug 13, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A36910 | CA | Primary |
Addresses
Primary practice location
1530 E Chevy Chase Dr
Suite 107
Glendale, CA 91206-4163
Mailing address
1530 E Chevy Chase Dr
Suite 107
Glendale, CA 91206-4163
Phone (818) 246-4885
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36910 | CA | MD | Periodontist |
| A36910 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Glendale Adventist Medical Center | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Skilled Nursing Facility
- Glendale, CA
- NPI 1114916293
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962414219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1530 E CHEVY CHASE DR",
"address_2": "SUITE 107",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912064163",
"telephone_number": "818-246-4885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1530 E CHEVY CHASE DR",
"address_2": "SUITE 107",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912064163",
"telephone_number": "818-246-4885"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERUNDO",
"first_name": "HELENA",
"middle_name": "MARIA",
"name_prefix": "Ms.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A36910",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.