GERARD GEORGETTI (NPI# 1760931414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760931414 |
| Entity Type | Individual |
| Full Name | GERARD GEORGETTI |
| Practice Address |
1855 W Katella Ave 150 Orange CA 92867-3451 |
| Practice Telephone | 7143993480 |
| Practice Fax Number | 7143993481 |
| Mailing Telephone | 7143993480 |
| Mailing Fax Number | 7143993481 |
| Enumeration Date | 2016-09-22 |
| Last Update Date | 2016-09-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Street Address |
1855 W KATELLA AVE 150 |
| City | ORANGE |
| State | CA |
| Zip Code | 92867-3451 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770504946 | Thomas Bruce Seitz | Marriage & Family Therapist | 1855 W Katella Ave, Suite 150, Orange, CA 92867-3451 | 2006-07-22 |
| 1134754740 | Anissa Angelic Garcia | Counselor | 1855 W Katella Ave, Orange, CA 92867-3451 | 2020-03-04 |
| 1780157107 | Yuliana Juarez | Counselor | 1855 W Katella Ave, Orange, CA 92867-3451 | 2019-01-08 |
| 1720575590 | Riccardo Lucien Ruggiero | Registered Nurse | 1855 W Katella Ave, Orange, CA 92867-3451 | 2018-04-17 |
| 1750882106 | Myles Rodriguez I | Counselor | 1855 W Katella Ave, Orange, CA 92867-3451 | 2018-02-21 |
| 1750809844 | Danielle Cybill Catacutan | Counselor | 1855 W Katella Ave, Orange, CA 92867-3451 | 2017-09-08 |
| 1205368651 | Jessica Michelson | Counselor | 1855 W Katella Ave, Orange, CA 92867-3451 | 2017-04-03 |
| 1043758766 | Sarah Finn | Counselor | 1855 W Katella Ave, Orange, CA 92867-3451 | 2017-02-01 |
| 1124561246 | Cynthia Yvette Rodriguez | Counselor | 1855 W Katella Ave, Suite 150, Orange, CA 92867-3451 | 2016-11-21 |
| 1437609195 | Kathleen Brown | Rehabilitation Practitioner | 1855 W Katella Ave, Suite 150, Orange, CA 92867-3451 | 2016-10-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770197618 | Family First Healthcare | Home Health | 2712 E Blueridge Ave, Orange, CA 92867 | 2020-09-08 |
| 1568924793 | Denise Giovanazzi Weinberg | Nurse Practitioner | 3215 East Abbey Lane, Orange, CA 92867 | 2019-04-05 |
| 1629536701 | Cindy Diaz | Behavioral Analyst | 410 E. Katella, Orange, CA 92867 | 2019-03-07 |
| 1992206940 | Oc Healthy Heart LLC | Internal Medicine | 438 E Katella Ave Suite B, Orange, CA 92867 | 2018-02-26 |
| 1083139059 | Randy Hope | Counselor | 1855 W Katella Ave #150, Orange, CA 92867 | 2017-08-10 |
| 1801319595 | Danielle Collett | Registered Nurse | 1855 N. Katella, 150, Orange, CA 92867 | 2017-07-25 |
| 1023538931 | Mala Leao | Social Worker | 2440 E. Vanowen Ave., Orange, CA 92867 | 2017-06-21 |
| 1184096257 | Renew Acupuncture Clinic | Health Maintenance Organization | 1132 E Katella Avenue Ste. A14, Orange, CA 92867 | 2015-10-28 |
| 1942604913 | Seon Song | Acupuncturist | 1327 E Katella Ave, Orange, CA 92867 | 2014-10-20 |
| 1700298965 | Nazanin Minouei | Physical Therapy Assistant | 1045 N. Tustin Ave, Orange, CA 92867 | 2014-05-22 |
| Find all providers in zip 92867 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700437571 | Edith Silva | Peer Specialist | 131 W Main St Ste 101, Orange, MA 01364-1157 | 2019-09-24 |
| 1386110690 | Tara Nicole Pitterson | Peer Specialist | 401 S Tustin Street, Building C, Orange, CA 92866-2550 | 2018-10-15 |
| 1255975801 | Alycia Grace Wallace | Peer Specialist | 401 S Tustin St Bldg C, Orange, CA 92866-2550 | 2019-11-06 |
| 1992348767 | Janice Jones | Peer Specialist | 401 S Tustin St, Orange, CA 92866-2550 | 2019-10-23 |
| 1871143529 | James Michael Plaza | Peer Specialist | 131 W Main St, Orange, MA 01364-1150 | 2019-09-15 |
| 1699238444 | David Hao Tien | Peer Specialist | 401 S Tustin St Bldg C, Orange, CA 92866-2550 | 2019-04-09 |
| 1922578590 | Kenya Denise Bradley | Peer Specialist | 401 S Tustin St, Orange, CA 92866 | 2018-11-27 |
| 1467920561 | Jason Stentz | Peer Specialist | 401 S Tustin St, Orange, CA 92866-2550 | 2018-11-06 |
| 1669959292 | Orlando Vera | Peer Specialist | 401 S Tustin St, Orange, CA 92866-2550 | 2018-07-26 |
| 1861998882 | Daniel Edmund Verdugo | Peer Specialist | 401 S Tustin St Bldg C, Orange, CA 92866-2550 | 2018-03-30 |
| Find all providers in ORANGE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.