Steven P Gorman MD Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G83973 Issued in CA

Legal business name

STEVEN P GORMAN MD INC.

Practice address

78150 Calle Tampico
Suite 100
La Quinta, CA 92253-2907

Phone

(760) 564-1886

Fax

(760) 564-8558

NPI assigned

Jan 19, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Steven P Gorman, MDNPI 1104926500

Title

Owner

Phone

(760) 564-7886

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• STEVEN P GORMAN MD Other name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Steven P Gorman, M.D.

  • Internal Medicine Physician
  • La Quinta, CA
  • NPI 1104926500
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1326931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365897600000",
    "number": "1306117668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78150 CALLE TAMPICO",
            "address_2": "SUITE 100",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922532907",
            "telephone_number": "760-564-1886",
            "fax_number": "760-564-8558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78150 CALLE TAMPICO",
            "address_2": "SUITE 100",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922532907",
            "telephone_number": "760-564-1886",
            "fax_number": "760-564-8558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN P GORMAN MD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-19",
        "last_updated": "2013-04-14",
        "status": "A",
        "authorized_official_last_name": "GORMAN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-564-7886",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G83973",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G839730",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDV. NPI#",
            "identifier": "1104926500",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCR PTAN IND",
            "identifier": "FY520Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCR PTAN GRP",
            "identifier": "FY791A",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCR NPI GRP",
            "identifier": "1306117668",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STEVEN P GORMAN MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Internal Medicine Physician in La Quinta, CA
• Providers in La Quinta, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.