Paul Gorman, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

A69764 Issued in CA

Practice address

570 El Camino Real
Suite 260
Redwood City, CA 94063-1200

Phone

(650) 556-0200

Fax

(650) 556-0201

NPI assigned

May 22, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386853406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 EL CAMINO REAL",
            "address_2": "SUITE 260",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940631200",
            "telephone_number": "650-556-0200",
            "fax_number": "650-556-0201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 EL CAMINO REAL",
            "address_2": "SUITE 260",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940631200",
            "telephone_number": "650-556-0200",
            "fax_number": "650-556-0201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORMAN",
        "first_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A69764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Good Smiles LLC
• Scott Alan Goode, PHD, PHD
• Varun Gorantla, M.D.
• Andrea Gordon
• Carrie Kallenbach Gordon, NP
• Brenda Denise Gormley, RD
• Lenore Georgette Gotelli
• Shantha Gowda, PSYD
• Ashu Goyal, MD
• Rakesh Kumar Goyal, MD

• General Practice Physician in Redwood City, CA
• Providers in Redwood City, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.