Look up the most recent NPI and PECOS records

Nels James Gerhardt

Emergency Medicine

Allopathic & Osteopathic Physicians

400 W Pueblo St, Santa Barbara, CA 93105-4353

PECOS Enrollment

This provider is enrolled in PECOS as NELS GERHARDT.

Based on the most recent information from CMS, provider Nels James Gerhardt is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 11:36 AM.

Profile Details

Provider ID
1760709141
Provider Type
Individual
Full Name
Gerhardt, Nels James
Title
Dr.
Credential
M.D.

Gender
Male
Sole Proprietor
No
Enumeration Date
4/26/2010
Last Updated
3/14/2016

Contact Information

Practice Location

400 W Pueblo St, Santa Barbara, CA 93105-4353

(805) 682-7111

Unlisted Fax

Mailing Location

400 W Pueblo St, Santa Barbara, CA 93105-4353

(805) 682-7111

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207P00000X Primary	Description Emergency Medicine Allopathic & Osteopathic Physicians	License 128869 California

Nels James Gerhardt

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Kim, Sylvia H

Houston, Kyle Jacob

Downing, Elizabeth A

Morris, Jason Lee

Salvucci, Angelo A

South Coast Emergency Medical Group Inc

Trosino, Lisa

Kroes, Jeremy Scott

Vu, Christopher Son

Stormo, Owen J