Individual provider Active NPI

Deana R Gorka, M.A.

  • Marriage & Family Therapist
  • Redondo Beach, CA
National Provider Identifier
1508132788
Registry record updated Apr 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
IMF 57922 Issued in CA
Practice address
901 N Pacific Coast Hwy
Suite 206a
Redondo Beach, CA 90277-2162
Phone
(310) 462-0936
NPI assigned
Apr 1, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X IMF 57922 CA Primary

Addresses

Primary practice location

901 N Pacific Coast Hwy
Suite 206a
Redondo Beach, CA 90277-2162

Mailing address

1855 E Rose Ave
Apt 7a
Orange, CA 92867-7144
Phone (714) 814-9466

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
IMF 57922CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1333238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333238400000",
    "number": "1508132788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1855 E ROSE AVE",
            "address_2": "APT 7A",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928677144",
            "telephone_number": "714-814-9466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 N PACIFIC COAST HWY",
            "address_2": "SUITE 206A",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902772162",
            "telephone_number": "310-462-0936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORKA",
        "first_name": "DEANA",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-01",
        "last_updated": "2012-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF 57922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redondo Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2012; 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.