Individual provider Active NPI

John Ronald Gurskis, M.D.

  • Specialist
  • Fountain Valley, CA
National Provider Identifier
1417010182
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G050055 Issued in CA
Practice address
10840 Warner Ave
Suite 109
Fountain Valley, CA 92708-3847
Phone
(714) 962-3661
NPI assigned
Dec 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X G050055 CA Primary

Addresses

Primary practice location

10840 Warner Ave
Suite 109
Fountain Valley, CA 92708-3847

Mailing address

9949 Sage Cir
Fountain Valley, CA 92708-2327
Phone (562) 688-1700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100616000152 CA Practitioner - AnesthesiologyPractitioner - Interventional Pain Management 5799815833 Reassigns benefits to 1 organization
Practice locations: Long Beach, CA; Westminster, CA

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Interventional Pain Management
Education
University of Chicago, Pritzker School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2865 Atlantic Ave
Suite 226
Long Beach, CA 90806-1723
Phone (714) 926-8444

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
50055CAMDMarriage & Family Therapist
G050055CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Pain Doctors MD Medical Corporation CurrentSince Jul 1, 2016 Accepting new patients
Robyn K Sato DO Medical Corporation Past Accepting new patients

Locations

2865 Atlantic Ave
Ste 226
Long Beach, CA 90806
Phone (562) 270-4050

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1166313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417010182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9949 SAGE CIR",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927082327",
            "telephone_number": "562-688-1700",
            "fax_number": "714-839-0667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10840 WARNER AVE",
            "address_2": "SUITE 109",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927083847",
            "telephone_number": "714-962-3661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GURSKIS",
        "first_name": "JOHN",
        "middle_name": "RONALD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G050055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

Verify at the official NPI Registry.