Michael Edward Gorin, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

00G342310 Issued in CA

Practice address

501 S Shore Ctr W
Suite 103B
Alameda, CA 94501-5762

Phone

(510) 521-6510

Fax

(510) 521-1465

NPI assigned

Feb 6, 2006

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

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252540800000",
    "number": "1457323123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 S SHORE CTR W",
            "address_2": "SUITE 103B",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945015762",
            "telephone_number": "510-521-6510",
            "fax_number": "510-521-1465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S SHORE CTR W",
            "address_2": "SUITE 103B",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945015762",
            "telephone_number": "510-521-6510",
            "fax_number": "510-521-1465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORIN",
        "first_name": "MICHAEL",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-06",
        "last_updated": "2009-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "00G342310",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G342310",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA MEDICARE DMERC",
            "identifier": "1093010001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR M CARE",
            "identifier": "756181821",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark Goomishian
• Danielle M Gordon, PA
• Valerie Gordon
• Elliott Gorelick, RPH
• Mari Gorga, P.A.-C
• Peggy Ann Gorr
• Walter H Gould
• Sophia K. Grabenstatter, MD
• Amanda Jean Graham
• Rizza Grant, BA, MS, OTR/L

• Ophthalmology Physician in Alameda, CA
• Providers in Alameda, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2009; 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.