Individual provider Active NPI

Gerald Goresky, MDCM, FRCPC

  • Pediatric Anesthesiology Physician
  • Stanford, CA
National Provider Identifier
1275677403
Registry record updated Mar 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Anesthesiology PhysicianTaxonomy code 207LP3000X
License
G32773 Issued in CA
Practice address
300 Pasteur Dr
H3580, Department of Anesthesia, Sumc
Stanford, CA 94305-2200
Phone
(650) 723-5728
NPI assigned
Feb 19, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Anesthesiology Physician 207LP3000X G32773 CA Primary

Addresses

Primary practice location

300 Pasteur Dr
H3580, Department of Anesthesia, Sumc
Stanford, CA 94305-2200

Mailing address

5338 Oak Street
Vancouver, BC V6M2V4
CA
Phone (778) 329-2213

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)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Lucile Salter Packard Children'S Hospital at Stanford Past Accepting new patients
Stanford Health Care Past Accepting new patients
LPCH Medical Group Div of Lucile Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235952000000",
    "number": "1275677403",
    "addresses": [
        {
            "country_code": "CA",
            "country_name": "Canada",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "5338 OAK STREET",
            "city": "VANCOUVER",
            "state": "BC",
            "postal_code": "V6M2V4",
            "telephone_number": "778-329-2213",
            "fax_number": "403-770-8063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PASTEUR DR",
            "address_2": "H3580, DEPARTMENT OF ANESTHESIA, SUMC",
            "city": "STANFORD",
            "state": "CA",
            "postal_code": "943052200",
            "telephone_number": "650-723-5728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORESKY",
        "first_name": "GERALD",
        "name_prefix": "Dr.",
        "credential": "MDCM, FRCPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-19",
        "last_updated": "2009-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP3000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pediatric Anesthesiology",
            "state": "CA",
            "license": "G32773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stanford, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 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.