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NPI Code Detail

MEDICARE: GERARDO GARIBALDO-SANTANA

MEDICARE: GERARDO GARIBALDO-SANTANA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225400000XRehabilitation PractitionerCA
2171M00000XCase Manager/Care Coordinator
3225400000XRehabilitation Practitioner

General Provider Information

NPI Number : 1043964828
Entity Type Code : Individual
Provider Name (Legal Business Name) : GERARDO GARIBALDO-SANTANA
Provider Business Mailing Address
First Line : 5300 SOQUEL AVE
Second Line :
City : SANTA CRUZ
State : CA
Zip : 95062-7805
Country : US
Telephone Number : 209-576-1750
Fax Number :
Provider Business Practice Location Address
First Line : 5300 SOQUEL AVE
Second Line :
City : SANTA CRUZ
State : CA
Zip : 95062-7805
Country : US
Telephone Number : 209-576-1750
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2022
Last Update Date : 01/21/2026

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Directions to “ GERARDO GARIBALDO-SANTANA ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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