Organization Active NPI

Daniel Gorenberg, M.D. a Prof. Corp.

  • Allergy & Immunology Physician
  • San Bernardino, CA
National Provider Identifier
1568489474
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
A16965 Issued in CA
Legal business name
DANIEL GORENBERG, M.D. A PROF. CORP.
Practice address
2130 Arrowhead Avenue
Ste #101
San Bernardino, CA 92405
Phone
(909) 882-3013
Fax
(909) 882-3424
NPI assigned
Jul 16, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Daniel Gorenberg, M.D.
Title
Allergist/President
Phone
(909) 882-3013

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207K00000X A16965 CA Primary

Addresses

Primary practice location

2130 Arrowhead Avenue
Ste #101
San Bernardino, CA 92405

Mailing address

2130 Arrowhead Avenue
Ste #101
San Bernardino, CA 92405
Phone (909) 882-3013

National Provider Directory

National Provider Directory

Locations

2130 N Arrowhead Ave
Ste 101
Sn Bernrdno, CA 92405
Phone (909) 882-3013

Networks

  • BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

NPI Registry JSON

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568489474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2130 ARROWHEAD AVENUE",
            "address_2": "STE #101",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "92405",
            "telephone_number": "909-882-3013",
            "fax_number": "909-882-3424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2130 ARROWHEAD AVENUE",
            "address_2": "STE #101",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "92405",
            "telephone_number": "909-882-3013",
            "fax_number": "909-882-3424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL GORENBERG, M.D. A PROF. CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GORENBERG",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "ALLERGIST/PRESIDENT",
        "authorized_official_telephone_number": "909-882-3013",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology",
            "state": "CA",
            "license": "A16965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.