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THOMAS J GERKE MD INC NPI 1265585061


NPI Information

NPI: 1265585061
Provider Name: THOMAS J GERKE MD INC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
4055 E OLYMPIC BLVD
SUITE 207
LOS ANGELES, CA
ZIP 90023
Phone: (323) 262-0599
Get Directions

THOMAS J GERKE MD INC is a general practice in Los Angeles, CA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee THOMAS J GERKE MD INC NPI is 1265585061. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4055 E OLYMPIC BLVD
SUITE 207
LOS ANGELES, CA
ZIP 90023-329
Phone: (323) 262-0599
Fax: (323) 262-0699

The provider's authorized official is Leo Rendon .
The authorized official title is Office Manager and has the following contact phone number (323) 262-0599.

The enumeration date for this NPI number is 1/18/2007 and was last updated on 9/16/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral PracticeG59290CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100G592902MEDICAIDCALIFORNIA
2W15419MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIAMEDICARE PROVIDER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.