Individual provider Active NPI

Laurence K Gorlick, MD

  • Internal Medicine Physician
  • Rancho Mirage, CA
National Provider Identifier
1669411542
Registry record updated Oct 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A36580 Issued in CA
Practice address
40500 Paxton Dr
Rancho Mirage, CA 92270-3504
Phone
(310) 713-7002
Fax
(760) 501-2953
NPI assigned
Jun 6, 2006
Last updated
Oct 7, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A36580 CA Primary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X A36580 CA

Addresses

Primary practice location

40500 Paxton Dr
Rancho Mirage, CA 92270-3504

Mailing address

40500 Paxton Dr
Rancho Mirage, CA 92270-3504
Phone (310) 713-7002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Previously, effective Oct 1, 2024 through Oct 1, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
36580CAMDGeneral Practice Dentistry
A36580CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prohealth Partners a Medical Group Inc Internal Medicine Current Accepting new patients
Providence Health System - Southern California Past Accepting new patients
Dignity Health Past Accepting new patients
Long Beach Memorial Medical Past Accepting new patients
Prohealth Partners, a Medical Group, Inc. Internal Medicine Past Accepting new patients
Torrance Memorial Medical Center Past Accepting new patients
Providence Health System Southern California Past Accepting new patients

Locations

File 54567
Los Angeles, CA 90074
Phone (310) 491-9060

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791331200000",
    "number": "1669411542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40500 PAXTON DR",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922703504",
            "telephone_number": "310-713-7002",
            "fax_number": "760-501-2953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40500 PAXTON DR",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922703504",
            "telephone_number": "310-713-7002",
            "fax_number": "760-501-2953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORLICK",
        "first_name": "LAURENCE",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2026-10-07",
        "certification_date": "2026-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A36580",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "CA",
            "license": "A36580",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Mirage, CA

Sources for this page

Verify at the official NPI Registry.