Organization Active NPI

Michael E. Gorin, MD Professional Corporation

  • Ophthalmology Physician
  • Alameda, CA
National Provider Identifier
1114250404
Registry record updated Sep 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G34231 Issued in CA
Legal business name
MICHAEL E. GORIN, MD PROFESSIONAL CORPORATION
Practice address
501 S Shore Ctr W
Suite 103B
Alameda, CA 94501-5762
Phone
(510) 521-6510
Fax
(510) 521-1465
NPI assigned
Sep 17, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2009

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

Authorized official

Name
Dr. Michael Edward Gorin, M.D.
Title
Owner
Phone
(510) 521-6510

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207W00000X G34231 CA Primary

Addresses

Primary practice location

501 S Shore Ctr W
Suite 103B
Alameda, CA 94501-5762

Mailing address

501 S Shore Ctr W
Suite 103B
Alameda, CA 94501-5762
Phone (510) 521-6510

Other identifiers 2

IdentifierTypeStateIssuer
756181821OtherCARAILROAD
00G342310MedicaidCA

National Provider Directory

National Provider Directory

Locations

501 S Shore Ctr W
Ste B
Alameda, CA 94501
Phone (510) 521-6510

501 S Shore Ctr W
Ste 103B
Alameda, CA 94501
Phone (510) 521-6510

NPI Registry JSON

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

{
    "created_epoch": "1253145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253145600000",
    "number": "1114250404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 S SHORE CTR W",
            "address_2": "SUITE 103B",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945015762",
            "telephone_number": "510-521-6510",
            "fax_number": "510-521-1465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S SHORE CTR W",
            "address_2": "SUITE 103B",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945015762",
            "telephone_number": "510-521-6510",
            "fax_number": "510-521-1465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL E. GORIN, MD PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-17",
        "last_updated": "2009-09-17",
        "status": "A",
        "authorized_official_last_name": "GORIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "510-521-6510",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G34231",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "756181821",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G342310",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alameda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.