JOSEPH ANDREW GERONDALE
NPI 1568099893
Student in an Organized Health Care Education/Training Program in San Diego, CA
About Joseph Andrew Gerondale NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOSEPH ANDREW GERONDALE (NPI 1568099893) is an individual student in an organized health care education/training program in San Diego, California and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Joseph Andrew Gerondale is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Joseph Gerondale reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Diego, CA 92120
- Reassigned Medicare billing, California enrollment
- 13,921 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Other Providers at the Same Location NPPES 18
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN DIEGO, CA 92120
SAN DIEGO, CA 92120
SAN DIEGO, CA 92120
SAN DIEGO, CA 92120
SAN DIEGO, CA 92120
SAN DIEGO, CA 92120
SAN DIEGO, CA 92120
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Joseph Gerondale's NPI number?
The NPI number for Joseph Gerondale is 1568099893. It was assigned to this individual provider in the NPPES registry on March 25, 2020.
Where is Joseph Gerondale located?
Joseph Gerondale practices at 4647 Zion Ave Ste 1116, San Diego, CA 92120. The listed phone number is (714) 580-9636.
What is Joseph Gerondale's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Joseph Gerondale enrolled in Medicare?
Yes. Joseph Gerondale is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Joseph Gerondale's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Joseph Gerondale reassigns Medicare benefits to Southern California Permanente Medical Group (San Diego, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Joseph Gerondale's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Joseph Gerondale was last updated on December 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Joseph Andrew Gerondale · NPI 1568099893
Student in an Organized Health Care Education/Training Program provider in San Diego, California. Individual provider, active in the CMS NPPES registry since March 25, 2020.
## Identity
- **NPI:** 1568099893 (Entity type: Individual)
- **Enumerated:** March 25, 2020
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 4647 ZION AVE STE 1116, San Diego, CA 92120-2507
- **Phone:** (714) 580-9636
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Southern California Permanente Medical Group (NPI 1225060742, San Diego, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** December 6, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1568099893) · Data from the CMS NPPES public registry.