Individual
GERALDINE M DUTRA
Active
Individual
GERALDINE M DUTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA14146
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0079250
—
CA
01
—
PA14146
PA LICENSE
CA
01
—
ZZZ13239Z
GROUP PTAN
CA
Enumeration date
04/01/2008
Last updated
02/14/2012
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up