Individual provider Active NPI

Yara Christina Rothermel Gorski, M.D.

  • Vascular Surgery Physician
  • Temecula, CA
National Provider Identifier
1417049156
Registry record updated Aug 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
A068154 Issued in CA
Practice address
31537 Inland Valley Dr
Suite 202
Temecula, CA 92592
Phone
(951) 698-3000
Fax
(951) 698-7700
NPI assigned
Sep 29, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X A681540 CA
Vascular Surgery Physician 2086S0129X A068154 CA Primary

Addresses

Primary practice location

31537 Inland Valley Dr
Suite 202
Temecula, CA 92592

Mailing address

31537 Inland Valley Dr
Suite 202
Temecula, CA 92592
Phone (951) 698-3000

Other identifiers 1

IdentifierTypeStateIssuer
CJ959COtherMEDICARE PTAN

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
I20091116000195 CA Practitioner - Vascular SurgeryPractitioner - General Surgery 5092853275 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Surgery
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Murrieta Valley Surgery Associates Medical Group Inc ApcGroup PAC ID 6002136926, 16 clinicians

Practice addresses (Care Compare)

36320 Inland Valley Dr
Suite 101a
Wildomar, CA 92595-7512
Phone (951) 698-3000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal57
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A681540CAMDSurgery Physician
A068154CAMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Murrieta Valley Surgery Associates Medical Group, Inc, Apc Surgery CurrentSince Feb 28, 2015 Accepting new patients
Universal Health Services of Rancho Springs Inc Past Accepting new patients
Temecula Valley Hospital Inc Past Accepting new patients
Uhs Corona Inc Past Accepting new patients
Loma Linda University Medical Center Past Accepting new patients
Menifee Valley Medical Center Past Accepting new patients
Hemet Valley Medical Center Past Accepting new patients
Physicians' Hospital of Murrieta, LLC Past Accepting new patients

Locations

830 Magnolia Ave
Ste 1
Corona, CA 92879

830 Magnolia Ave
Fl 1
Corona, CA 92879
Phone (657) 216-6090

3851 W Stetson Ave
Ste 105
Hemet, CA 92545

3853 W Stetson Ave
Ste 105
Hemet, CA 92545

31537 Rancho Pueblo Rd
Ste 202
Temecula, CA 92592
Phone (951) 698-3000

36320 Inland Valley Dr
Ste 101A
Wildomar, CA 92595
Phone 9516983000 ext. 304

36320 Inland Valley Dr
Ste 208
Wildomar, CA 92595
Phone (951) 677-1966

36320 Inland Valley Dr
Ste 201
Wildomar, CA 92595
Phone (951) 698-3000

36320 Inland Valley Dr
Ste 101
Wildomar, CA 92595
Phone (951) 600-3811

36485 Inland Valley Dr
Wildomar, CA 92595
Phone (909) 677-9778

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: ygorski181937@direct.llu.edu
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 8

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 2

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": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439164800000",
    "number": "1417049156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31537 INLAND VALLEY DR",
            "address_2": "SUITE 202",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "92592",
            "telephone_number": "951-698-3000",
            "fax_number": "951-698-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31537 INLAND VALLEY DR",
            "address_2": "SUITE 202",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "92592",
            "telephone_number": "951-698-3000",
            "fax_number": "951-698-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTHERMEL GORSKI",
        "first_name": "YARA",
        "middle_name": "CHRISTINA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-29",
        "last_updated": "2015-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A681540",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CA",
            "license": "A068154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "CJ959C",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

Verify at the official NPI Registry.