Provider Demographics
NPI:1407854599
Name:GERBER, RICHARD SETH (MD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:SETH
Last Name:GERBER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:230 SAN JOSE ST
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93901-3901
Mailing Address - Country:US
Mailing Address - Phone:831-758-2100
Mailing Address - Fax:831-758-1565
Practice Address - Street 1:230 SAN JOSE ST
Practice Address - Street 2:
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93901-3901
Practice Address - Country:US
Practice Address - Phone:831-758-2100
Practice Address - Fax:831-758-1565
Is Sole Proprietor?:No
Enumeration Date:2005-07-12
Last Update Date:2013-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG67537207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG00067537OtherBLUE CROSS
CAG067537OtherBLUE SHIELD
CA00G675370Medicaid
CA110115617OtherRAILROAD MEDICARE CCC
CA110109425OtherRAILROAD MEDICARE SVMH READING
CAG00067537OtherBLUE CROSS
CA00G675373Medicare PIN
CA00G675374Medicare PIN
CAG067537OtherBLUE SHIELD