Active NPI
Neal Lewis Gorlick, MD
- Surgery of the Hand (Plastic Surgery) Physician
- Woodland Hills, CA
National Provider Identifier
1851311849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery of the Hand (Plastic Surgery) Physician
- License
- G-84029
- Practice address
- 5601 De Soto Ave
Department of Plastic Surgery
Woodland Hills, CA 91367-6701 - Phone
- (818) 719-3431
- Fax
- (818) 719-4245
- NPI assigned
- Jul 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery of the Hand (Plastic Surgery) Physician | 2082S0105X | G-84029 | CA | Primary |
Addresses
Primary practice location
5601 De Soto Ave
Department of Plastic Surgery
Woodland Hills, CA 91367-6701
Mailing address
5601 De Soto Ave
Department of Plastic Surgery
Woodland Hills, CA 91367-6701
Phone (818) 719-3431
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G840290 | Medicaid | CA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq | Health Information Exchange (HIE) | Southern California Permanente Medical Group |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G-84029 | CA | MD | Surgery of the Hand (Plastic Surgery) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638835200000",
"number": "1851311849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5601 DE SOTO AVE",
"address_2": "DEPARTMENT OF PLASTIC SURGERY",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "913676701",
"telephone_number": "818-719-3431",
"fax_number": "818-719-4245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5601 DE SOTO AVE",
"address_2": "DEPARTMENT OF PLASTIC SURGERY",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "913676701",
"telephone_number": "818-719-3431",
"fax_number": "818-719-4245"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORLICK",
"first_name": "NEAL",
"middle_name": "LEWIS",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-20",
"last_updated": "2021-12-07",
"certification_date": "2021-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "2082S0105X",
"taxonomy_group": "",
"desc": "Plastic Surgery, Surgery of the Hand",
"state": "CA",
"license": "G-84029",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G840290",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
"affiliation": "Y",
"endpointDescription": "Carequality",
"affiliationName": "Southern California Permanente Medical Group",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "5601 De Soto Ave",
"city": "Woodland Hills",
"state": "CA",
"country_code": "US",
"postal_code": "913676701",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Woodland Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.