Healthcare Provider Details

I. General information

NPI: 1902899669
Provider Name (Legal Business Name): MARIA STELLA M GAERLAN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/29/2005
Last Update Date: 10/06/2025
Certification Date: 10/06/2025
Deactivation Date: 03/27/2006
Reactivation Date: 03/31/2006

III. Provider practice location address

3900 GARFIELD AVE
CARMICHAEL CA
95608-6647
US

IV. Provider business mailing address

PO BOX 341030
SACRAMENTO CA
95834-8930
US

V. Phone/Fax

Practice location:
  • Phone: 872-231-3162
  • Fax:
Mailing address:
  • Phone: 916-430-4330
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number8282
License Number StateNV
# 2
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License NumberA53543
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: