Active NPI
Michael E. Gorin, MD Professional Corporation
- Ophthalmology Physician
- Alameda, CA
National Provider Identifier
1114250404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- G34231
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 756181821 | Other | CA | RAILROAD |
| 00G342310 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
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.