Individual provider Active NPI

Alan E. Gorenberg, MD

  • Allergy & Immunology Physician
  • Orange, CA
National Provider Identifier
1730115221
Registry record updated Oct 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
G60876 Issued in CA
Practice address
8506 E Chapman Ave
Orange, CA 92869-2461
Phone
(714) 633-4666
Fax
(714) 633-4640
NPI assigned
Jun 25, 2006
Last updated
Oct 14, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X G60876 CA Primary
Allergy & Immunology (Internal Medicine) Physician 207RA0201X G60876 CA

Addresses

Primary practice location

8506 E Chapman Ave
Orange, CA 92869-2461

Mailing address

12380 Hesperia Rd Ste 2
Victorville, CA 92395-5814
Phone (760) 243-4188

Other identifiers 5

IdentifierTypeStateIssuer
G60876OtherCAMEDICAL LICENSE
260035678OtherCOMMERCIAL
1770514945OtherCANPI (INCORPERATED)
1730115221OtherCANPI (INDIVIDUAL)
00G608761OtherBLUE CROSS AND BLUE SHIELD

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20060313000205 CA Practitioner - Allergy/ImmunologyPractitioner - Internal Medicine 2466469911 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Internal Medicine
Education
Loma Linda University School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

12380 Hesperia Rd
Suite 2
Victorville, CA 92395-5814
Phone (760) 243-4188

1314 N Norma St
Ridgecrest, CA 93555-2509
Phone (760) 446-2935

1969 Orange Tree LN
B
Redlands, CA 92374-0114
Phone (909) 882-3013

Merit-based Incentive Payment System (MIPS)

Final score
77.5 of 100Reported as individual
Quality
73.5
Promoting interoperability
71
Improvement activities
40
Cost
68.51

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G60876CAMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dignity Health Past Accepting new patients
Daniel Gorenberg, M.D. a Prof. Corp. Allergy & Immunology Past Accepting new patients
Dignity Health Past Accepting new patients
Diagnostic Imaging Services Past Accepting new patients
Corwin Medical Group Inc Ipa Past Accepting new patients
Community Hospital of San Bernardino Past Accepting new patients
Desert Valley Hospital, LLC Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 8

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": "1151193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287014400000",
    "number": "1730115221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12380 HESPERIA RD STE 2",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923955814",
            "telephone_number": "760-243-4188",
            "fax_number": "760-243-6888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8506 E CHAPMAN AVE",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928692461",
            "telephone_number": "714-633-4666",
            "fax_number": "714-633-4640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORENBERG",
        "first_name": "ALAN",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-25",
        "last_updated": "2010-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "CA",
            "license": "G60876",
            "primary": true
        },
        {
            "code": "207RA0201X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": "CA",
            "license": "G60876",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "G60876",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL",
            "identifier": "260035678",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI (INCORPERATED)",
            "identifier": "1770514945",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI (INDIVIDUAL)",
            "identifier": "1730115221",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHIELD",
            "identifier": "00G608761",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.