NPIMap

Individual provider Active NPI

Isaac Gorbaty, M.D.

  • Nephrology Physician
  • Tarzana, CA
National Provider Identifier
1477562718
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
G33719 Issued in CA
Practice address
18411 Clark Street
206
Tarzana, CA 91356
Phone
(818) 708-3143
Fax
(818) 708-3146
NPI assigned
Aug 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X G33719 CA
Nephrology Physician 207RN0300X G33719 CA Primary

Addresses

Primary practice location

18411 Clark Street
206
Tarzana, CA 91356

Mailing address

18411 Clark Street
206
Tarzana, CA 91356
Phone (818) 708-3143

Other identifiers 2

IdentifierTypeStateIssuer
G33719OtherCAMEDICAL LICENSE
G33719MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060818000540 CA Practitioner - NephrologyPractitioner - Hematology/OncologyPractitioner - Internal MedicinePractitioner - Geriatric Medicine 0143223867 Practice locations: Tarzana, CA

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Geriatric Medicine, Internal Medicine
Education
Albert Einstein College of Medicine of Yeshiva University, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

18411 Clark St
Suite 209
Tarzana, CA 91356-3506
Phone (818) 708-3143

Hospital & facility affiliations

  • Dynamic Home Care Home health agency, Sherman Oaks, CA, CCN 557280
  • Providence Cedars Sinai Tarzana Medical Center Hospital, Tarzana, CA, CCN 050761
  • Northridge Hospital Medical Center Hospital, Northridge, CA, CCN 050116
  • Lake Balboa Care Center Nursing home, Van Nuys, CA, CCN 056180

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

Practice roles

OrganizationSpecialtyStatusNew patients
Synergy Hematology Oncology Medical Associates Inc Past Accepting new patients
Valley Presbyterian Hospital Past Accepting new patients
Dignity Community Care Past Accepting new patients
Tarzana Medical Center LLC Past Accepting new patients
Synergy Hematology Oncology Medical Associates, Inc. Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: isaac.gorbaty.1@2812.direct.athenahealth.com

Organizations & group practices 5

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 4

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": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1477562718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18411 CLARK STREET",
            "address_2": "206",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "91356",
            "telephone_number": "818-708-3143",
            "fax_number": "818-708-3146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18411 CLARK STREET",
            "address_2": "206",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "91356",
            "telephone_number": "818-708-3143",
            "fax_number": "818-708-3146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORBATY",
        "first_name": "ISAAC",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "CA",
            "license": "G33719",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "G33719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "G33719",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G33719",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

Verify at the official NPI Registry.