JOSEPH ANDREW GERONDALE
NPI 1568099893
Student in an Organized Health Care Education/Training Program in San Diego, CA

Active since March 25, 2020PECOS EnrolledAccepts Medicare Assignment
4647 ZION AVE STE 1116, SAN DIEGO, CA 92120(714) 580-9636 Get Directions Write a Review

NPPES record last updated: December 6, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 6, 2021, Mar 25, 2020 (2 updates tracked since 2020).

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

NPI1568099893
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJOSEPH ANDREW GERONDALE
Location Address4647 ZION AVE STE 1116San Diego, CA 92120-2507
Mailing Address20701 Kelvin LnHuntington Beach, CA 92646-5828 · (714) 580-9636
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 25, 2020
Last NPPES UpdateDecember 6, 20212 updates tracked since enumeration
NPPES CertifiedMarch 25, 2020
NPI 1568099893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4647 ZION AVE STE 1116, San Diego, CA 92120

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID9638562481
PECOS Enrollment IDI20230202001483
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
20 services20 patients

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.

Emergency Medicine
4647 ZION AVE STE 1116
SAN DIEGO, CA 92120
Student in an Organized Health Care Education/Training Program
4647 ZION AVE STE 1116
SAN DIEGO, CA 92120
Student in an Organized Health Care Education/Training Program
4647 ZION AVE STE 1116
SAN DIEGO, CA 92120
Student in an Organized Health Care Education/Training Program
4647 ZION AVE STE 1116
SAN DIEGO, CA 92120
Student in an Organized Health Care Education/Training Program
4647 ZION AVE STE 1116
SAN DIEGO, CA 92120
Student in an Organized Health Care Education/Training Program
4647 ZION AVE STE 1116
SAN DIEGO, CA 92120
Student in an Organized Health Care Education/Training Program
4647 ZION AVE STE 1116
SAN DIEGO, CA 92120
Student in an Organized Health Care Education/Training Program
4647 ZION AVE STE 1116
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.

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.