Michael Gorniowsky, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G29723 Issued in CA

Practice address

4644 Lincoln Blvd
Suite 428
Marina del Rey, CA 90292-6313

Phone

(310) 306-1888

Fax

(310) 577-8290

NPI assigned

May 20, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• La Vida Medical & Ipa

  • Contractor
  • Lawndale, CA
  • NPI 1831300813
  NPD (past)
• La Vida Multispecialty Medical Group Inc

  • Specialist
  • Hawthorne, CA
  • NPI 1861522708
  NPD (past)
• Prairie Medical Group

  • Specialist
  • Marina del Rey, CA
  • NPI 1194846410
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1073567442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4161 REDONDO BEACH BLVD",
            "address_2": "SUITE 201",
            "city": "LAWNDALE",
            "state": "CA",
            "postal_code": "902603306",
            "telephone_number": "310-214-8677",
            "fax_number": "310-921-1718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4644 LINCOLN BLVD",
            "address_2": "SUITE 428",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902926313",
            "telephone_number": "310-306-1888",
            "fax_number": "310-577-8290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORNIOWSKY",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G29723",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G279230",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Raul Gonzalez
• Yasmine Gonzalez
• Morgan Boker-Porpora Goodstadt, MS, RD, CDN, LDN
• Chanel Gordon
• Linda Carol Gorin-Sibner, PH.D.
• Bahareh Goshayeshi, D.D.S.
• Julie Gould, M.D.
• Carolynn Grainger
• Frances B Gramaje, P.T.
• Grant D. Shifflett, MD Inc

• Family Medicine Physician in Marina del Rey, CA
• Providers in Marina del Rey, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.