Provider Demographics
NPI:1437221736
Name:GERBINO, PETER G II (MD)
Entity Type:Individual
Prefix:DR
First Name:PETER
Middle Name:G
Last Name:GERBINO
Suffix:II
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 1:900 CASS ST STE 200
Mailing Address - Street 2:
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93940-4544
Mailing Address - Country:US
Mailing Address - Phone:831-655-2122
Mailing Address - Fax:831-655-5477
Practice Address - Street 1:900 CASS ST STE 200
Practice Address - Street 2:
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-4544
Practice Address - Country:US
Practice Address - Phone:831-655-2122
Practice Address - Fax:831-655-5477
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG63968207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G639680Medicaid
CAF81528Medicare UPIN
CA00G639680Medicaid