Organization Active NPI

Gregory L. Gorski, a Professional Medical Corp

  • Psychiatry Physician
  • West Covina, CA
National Provider Identifier
1619285145
Registry record updated May 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
G15977 Issued in CA
Legal business name
GREGORY L. GORSKI, A PROFESSIONAL MEDICAL CORP
Practice address
933 S Sunset Ave
105
West Covina, CA 91790-3410
Phone
(626) 338-9000
Fax
(626) 338-9022
NPI assigned
Sep 17, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2014

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

Authorized official

Name
Mrs. Madeleine Jean Gorski
Title
Vice-President
Phone
(626) 799-6025

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X G15977 CA Primary

Addresses

Primary practice location

933 S Sunset Ave
105
West Covina, CA 91790-3410

Mailing address

834 Milan Ave
South Pasadena, CA 91030-2813
Phone (626) 799-6025

National Provider Directory

National Provider Directory

Locations

595 E Colorado Blvd
Ste 331
Pasadena, CA 91101
Phone (626) 793-0272

NPI Registry JSON

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

{
    "created_epoch": "1284681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400025600000",
    "number": "1619285145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "834 MILAN AVE",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910302813",
            "telephone_number": "626-799-6025",
            "fax_number": "626-399-0314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "933 S SUNSET AVE",
            "address_2": "105",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903410",
            "telephone_number": "626-338-9000",
            "fax_number": "626-338-9022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY L. GORSKI, A PROFESSIONAL MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-17",
        "last_updated": "2014-05-14",
        "status": "A",
        "authorized_official_last_name": "GORSKI",
        "authorized_official_first_name": "MADELEINE",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "626-799-6025",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G15977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2014; 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.