Healthcare Provider Details

I. General information

NPI: 1437223344
Provider Name (Legal Business Name): MARIA GEORGETA GHERMAN MD MPH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/20/2006
Last Update Date: 01/31/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1399 S WINCHESTER BLVD # 100
SAN JOSE CA
95128-4300
US

IV. Provider business mailing address

2610 HALLMARK DR
BELMONT CA
94002-2912
US

V. Phone/Fax

Practice location:
  • Phone: 408-404-7447
  • Fax:
Mailing address:
  • Phone: 650-631-7458
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberA39264
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207QG0300X
TaxonomyGeriatric Medicine (Family Medicine) Physician
License NumberA39264
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code2083P0500X
TaxonomyPreventive Medicine/Occupational Environmental Medicine Physician
License NumberA39264
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License NumberA39264
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: