Alan E. Gorenberg MD, Inc.

Key facts

NPI

1770514945

Entity type

Organization (NPI type 2)

Primary specialty

Allergy Physician 207KA0200X

License

G60876 (CA)

Legal business name

ALAN E. GORENBERG MD, INC.

Practice address

8506 E Chapman Ave
Orange, CA 92869-2461

Phone

(714) 633-4666

Fax

(714) 633-4640

NPI assigned

Jul 6, 2006

Organization subpart

No

Authorized official

Name

Dr. Alan E. Gorenberg, M.D. NPI 1730115221

Title

President

Phone

(714) 633-4666

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alan E. Gorenberg, MD Allergy & Immunology Physician · Orange, CA · NPI 1730115221
  Medicare reassignment Authorized official CA
• Chioma Enweasor, M.D Pediatrics Physician · Fontana, CA · NPI 1184078099
  Medicare reassignment CA
• Erin Stockman Physician Assistant · Redlands, CA · NPI 1104218486
  NPD
• Fonda Jiang Allergy & Immunology Physician · Long Beach, CA · NPI 1043590649
  NPD (past)
• Melissa Ann Ronneburg, NP Family Nurse Practitioner · Jamestown, CA · NPI 1578961736
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in CA

Medicare enrollment records

National Provider Directory

Locations

Specialties & licenses

Addresses

Other identifiers

Other names

• Alan E. Gorenberg MD Doing business as

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 12, 2016.

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455235200000",
    "number": "1770514945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "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": {
        "organization_name": "ALAN E. GORENBERG MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2016-02-12",
        "status": "A",
        "authorized_official_last_name": "GORENBERG",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-633-4666",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G60876",
            "primary": false
        },
        {
            "code": "207KA0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Allergy & Immunology, Allergy",
            "state": "CA",
            "license": "G60876",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI (INDIVIDUAL)",
            "identifier": "1730115221",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI (INCORPERATED)",
            "identifier": "1770514945",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LIC.",
            "identifier": "G60876",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alan E. Gorenberg MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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All providers in Orange, CA · Allergy Physician in California