Provider Demographics
NPI:1407871734
Name:GERARDI, JOSEPH A (DO)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:A
Last Name:GERARDI
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:9300 VALLEY CHILDRENS PL
Mailing Address - Street 2:MAILSTOP FE10
Mailing Address - City:MADERA
Mailing Address - State:CA
Mailing Address - Zip Code:93636-8761
Mailing Address - Country:US
Mailing Address - Phone:559-353-5941
Mailing Address - Fax:559-353-5945
Practice Address - Street 1:9300 VALLEY CHILDRENS PL
Practice Address - Street 2:MAILSTOP FE10
Practice Address - City:MADERA
Practice Address - State:CA
Practice Address - Zip Code:93636-8761
Practice Address - Country:US
Practice Address - Phone:559-353-5941
Practice Address - Fax:559-353-5945
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2024-03-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA20A4999207XP3100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XP3100XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryPediatric Orthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00AX49990Medicaid
CA00AX49990Medicaid