Active NPI
David E Gorelick, MD
- Cardiovascular Disease Physician
- San Diego, CA
National Provider Identifier
1093053050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- G63542
- Practice address
- 510 1St Ave
# 2502
San Diego, CA 92101-6766 - Phone
- (714) 749-4835
- NPI assigned
- Jan 26, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | G63542 | CA | Primary |
Addresses
Primary practice location
510 1St Ave
# 2502
San Diego, CA 92101-6766
Mailing address
510 1St Ave
# 2502
San Diego, CA 92101-6766
Phone (714) 749-4835
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63542 | CA | MD | Dentist |
| G63542 | CA | MD | Cardiovascular Disease Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456531200000",
"number": "1093053050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "510 1ST AVE",
"address_2": "# 2502",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921016766",
"telephone_number": "714-749-4835"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 1ST AVE",
"address_2": "# 2502",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921016766",
"telephone_number": "714-749-4835"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORELICK",
"first_name": "DAVID",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-01-26",
"last_updated": "2016-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "CA",
"license": "G63542",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2016; 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.