Active NPI
Mari Gorga, P.A.-C
- Physician Assistant
- Alameda, CA
National Provider Identifier
1275868259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 61622
- Practice address
- 430 Willow St
Alameda, CA 94501-6130 - Phone
- (888) 380-0988
- Fax
- (833) 992-2313
- NPI assigned
- Oct 9, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5601005621 | MI | |
| Physician Assistant | 363A00000X | 61622 | CA | Primary |
Addresses
Primary practice location
430 Willow St
Alameda, CA 94501-6130
Mailing address
2950 Buskirk Ave Ste 300
Walnut Creek, CA 94597-6900
Phone (888) 380-0988
Other practice location 1
300 Neal St
Pleasanton, CA 94566-7317
Phone (888) 380-0988
Other practice location 2
21966 Dolores St
Castro Valley, CA 94546-6900
Phone (888) 380-0988
Other practice location 3
210 40th Street Way
Oakland, CA 94611-5612
Phone (888) 380-0988
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
300 Neal St
Pleasanton, CA 94566-7317
Phone (925) 462-2400
39022 Presidio Way
Fremont, CA 94538-1221
Phone (510) 792-3743
Merit-based Incentive Payment System (MIPS)
- Final score
- 68.97 of 100
- Quality
- 21.96
- Promoting interoperability
- 56
- Improvement activities
- 40
- Cost
- 77.93
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allergy & Asthma Physicians of Royal Oak PC | Past | Accepting new patients |
Organizations & group practices 5
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.
-
- Physical Medicine & Rehabilitation Physician
- Morton Grove, IL
- NPI 1669192472
CA
-
- Physical Medicine & Rehabilitation Physician
- Walnut Creek, CA
- NPI 1164156931
-
- Allergy & Immunology Physician
- Royal Oak, MI
- NPI 1871526459
-
- Physical Medicine & Rehabilitation Physician
- Lehi, UT
- NPI 1023781028
CA
-
- Allergy & Immunology Physician
- Royal Oak, MI
- NPI 1942362694
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668470400000",
"number": "1275868259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2950 BUSKIRK AVE STE 300",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945976900",
"telephone_number": "888-380-0988",
"fax_number": "289-236-3022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "430 WILLOW ST",
"city": "ALAMEDA",
"state": "CA",
"postal_code": "945016130",
"telephone_number": "888-380-0988",
"fax_number": "833-992-2313"
}
],
"practiceLocations": [
{
"address_1": "300 Neal St",
"address_purpose": "LOCATION",
"city": "Pleasanton",
"state": "CA",
"postal_code": "945667317",
"country_code": "US",
"telephone_number": "888-380-0988",
"fax_number": "833-992-2313",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "21966 Dolores St",
"address_purpose": "LOCATION",
"city": "Castro Valley",
"state": "CA",
"postal_code": "945466900",
"country_code": "US",
"telephone_number": "888-380-0988",
"fax_number": "833-992-2313",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "210 40th Street Way",
"address_purpose": "LOCATION",
"city": "Oakland",
"state": "CA",
"postal_code": "946115612",
"country_code": "US",
"telephone_number": "888-380-0988",
"fax_number": "833-992-2313",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GORGA",
"first_name": "MARI",
"credential": "P.A.-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-10-09",
"last_updated": "2022-11-15",
"certification_date": "2022-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MI",
"license": "5601005621",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "61622",
"primary": true
}
],
"identifiers": [],
"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 Nov 15, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.