Yuly Gorodisky, DO

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

20A10292 Issued in CA

Practice address

2831 N Ventura Rd
Oxnard, CA 93036-2213

Phone

(805) 983-1999

Fax

(805) 485-9490

NPI assigned

Jul 23, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Plastic and Reconstructive Surgery

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• West Coast Plastic Surgery Center, Inc.

  • Plastic Surgery Physician
  • Oxnard, CA
  • NPI 1902062854
  Medicare reassignment Authorized official
• West Coast Specialty Surgery Center of California LLC

  • Ambulatory Surgical Clinic/Center
  • Oxnard, CA
  • NPI 1477834950
  NPD Authorized official
• Dignity Health

  • General Acute Care Hospital
  • Oxnard, CA
  • NPI 1073665360
  NPD (past)
• Los Robles Regional Medical Center

  • General Acute Care Hospital
  • Thousand Oaks, CA
  • NPI 1033163019
  NPD (past)
• Simi Valley Hospital and Health Care Services

  • General Acute Care Hospital
  • Simi Valley, CA
  • NPI 1063495190
  NPD (past)
• University Group Medical Associates, P.C

  • Diagnostic Radiology Physician
  • Brooklyn, NY
  • NPI 1285683102
  NPD (past)

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672617600000",
    "number": "1619998655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2831 N VENTURA RD",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930362213",
            "telephone_number": "805-983-1999",
            "fax_number": "805-485-9490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2831 N VENTURA RD",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930362213",
            "telephone_number": "805-983-1999",
            "fax_number": "805-485-9490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORODISKY",
        "first_name": "YULY",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-23",
        "last_updated": "2023-01-02",
        "certification_date": "2023-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "CA",
            "license": "20A10292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Good Nutrition LLC
• Maxwell Henry Goodell
• Toni R Gooden, LMFT
• Dharmesh Ishwar Gordhan, PT
• Melvin Gordon, RPH,MPA
• Melissa Gosaynie
• Lisa Gotwals, RN, BSN, PHN
• Mina Goudarzi
• Jenna Gould, PT, DPT
• Lindsay Lambert Gould, MD

• Plastic and Reconstructive Surgery Physician in Oxnard, CA
• Providers in Oxnard, CA by specialty
• Plastic and Reconstructive Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.