Alan E. Gorenberg MD, Inc.

Primary specialty

Allergy PhysicianTaxonomy code 207KA0200X

License

G60876 Issued in CA

Legal business name

ALAN E. GORENBERG MD, INC.

Doing business as

Alan E. Gorenberg MD

Practice address

8506 E Chapman Ave
Orange, CA 92869-2461

Phone

(714) 633-4666

Fax

(714) 633-4640

NPI assigned

Jul 6, 2006

Last updated

Feb 12, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

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

Title

President

Phone

(714) 633-4666

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• Alan E. Gorenberg MD Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alan E. Gorenberg, MD

  • Allergy & Immunology Physician
  • Orange, CA
  • NPI 1730115221
  Medicare reassignment Authorized official
• Chioma Enweasor, M.D

  • Pediatrics Physician
  • Fontana, CA
  • NPI 1184078099
  Medicare reassignment
• 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)

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

{
    "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": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G60876",
            "primary": false
        },
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "CA",
            "license": "G60876",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "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"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI (INDIVIDUAL)",
            "identifier": "1730115221",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alan E. Gorenberg MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alaa Abousaif MD a Medical Corp
• Boaz Alailima
• Huda I R Alalami, MD
• Kyle Alamares
• Alaa Ahmad Alamour
• Andrew Alanis
• John Alaniz
• Leonardo Alaniz, MD
• Johan Manuel Alarcon Bustos
• Andrea Del Rosario Alarcon

• Allergy Physician in Orange, CA
• Providers in Orange, CA by specialty
• Allergy Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.