Active NPI
Luis Gorordo
- Driver
- Laguna Hills, CA
National Provider Identifier
1174104764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- Practice address
- 24012 Calle de la Plata Ste 400
Laguna Hills, CA 92653-7623 - Phone
- (833) 247-9111
- NPI assigned
- Apr 15, 2021
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Driver | 172A00000X | Primary |
Addresses
Primary practice location
24012 Calle de la Plata Ste 400
Laguna Hills, CA 92653-7623
Mailing address
24012 Calle de la Plata Ste 400
Laguna Hills, CA 92653-7623
Phone (833) 247-9111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621209600000",
"number": "1174104764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24012 CALLE DE LA PLATA STE 400",
"city": "LAGUNA HILLS",
"state": "CA",
"postal_code": "926537623",
"telephone_number": "833-247-9111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24012 CALLE DE LA PLATA STE 400",
"city": "LAGUNA HILLS",
"state": "CA",
"postal_code": "926537623",
"telephone_number": "833-247-9111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORORDO",
"first_name": "LUIS",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-04-15",
"last_updated": "2021-05-17",
"certification_date": "2021-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Laguna Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.