Gerard John Depersio
Anesthesiologist
1111 W La Palma Ave
Anaheim
, California 92801-2804
Gerard John Depersio
Anesthesiologist
1111 W La Palma Ave
Anaheim
, California 92801-2804
(714) 560-1585
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About
Features
Specialties
- Anesthesiologist
Languages spoken
- English
Location
First Address
- Gerard John Depersio
- 500 S Main St 1210
- Orange, CA
- Zip : 92868-4507
- Fax : (714) 560-1585
- Phone : (714) 560-1580
Second Address
- Gerard John Depersio
- 1111 W La Palma Ave
- Anaheim, CA
- Zip : 92801-2804
- Fax : (714) 999-3907
- Phone : (714) 999-3828
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207L00000X | Anesthesiologist | C30811 | CA |
National Provider Identifier
| NPI | 1013925346 |
|---|---|
| Provider Name | Gerard John Depersio |
| First Address | Orange, CA 92868-4507 |
| Second Address | Anaheim, CA 92801-2804 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/08/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00C308110 | BLUE SHIELD (01) | CA |
| 00C308111 | (05) | CA |
| A34372 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.