Glenn Gorlitsky, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G34311 Issued in CA

Practice address

1301 20TH St Ste 110
Santa Monica, CA 90404-2096

Phone

(310) 453-0419

Fax

(310) 829-1960

NPI assigned

Jul 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

Specialty

Internal Medicine

Education

Yale University School of Medicine, 1976

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Providence Saint Johns Medical FoundationGroup PAC ID 0840548624, 282 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Wellness Healthcare, Inc Home health agency, N Hollywood, CA, CCN 559576
• Arden Home Health Home health agency, Glendale, CA, CCN 553110
• Saint John's Health Center Hospital, Santa Monica, CA, CCN 050290

Merit-based Incentive Payment System (MIPS)

Final score

90.42 of 100Reported as group

Quality

96.07

Promoting interoperability

100

Improvement activities

40

Cost

71.98

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ggorlitsky472778@oc.providencedirect.org

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

• Providence Saint Johns Medical Foundation

  dba Saint John's Physician Partners

  • Specialist
  • Santa Monica, CA
  • NPI 1770093734

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Gorlitsky, Stein & Hernandez Medical Group, Co.

  • Internal Medicine Physician
  • Santa Monica, CA
  • NPI 1326378571
  NPD (past) Authorized official
• Providence Saint John's Health Center

  • General Acute Care Hospital
  • Santa Monica, CA
  • NPI 1124026273
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Favorite Care Home Health, Inc.

  dba Arden Home Health

  • Home Health Agency
  • Glendale, CA
  • NPI 1750755732
  Care Compare affiliation
• Providence Saint John's Health Center

  • General Acute Care Hospital
  • Santa Monica, CA
  • NPI 1124026273
  Care Compare affiliation
• Wellness Healthcare, Inc.

  • Home Health Agency
  • Upland, CA
  • NPI 1114441300
  Care Compare affiliation

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618272000000",
    "number": "1881625143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 SANTA MONICA BLVD",
            "address_2": "SUITE 680W",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042102",
            "telephone_number": "310-453-0419",
            "fax_number": "310-829-1960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 20TH ST STE 110",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042096",
            "telephone_number": "310-453-0419",
            "fax_number": "310-829-1960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORLITSKY",
        "first_name": "GLENN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G34311",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G343110",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ggorlitsky472778@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "1301 20th St Ste 110",
            "city": "Santa Monica",
            "state": "CA",
            "country_code": "US",
            "postal_code": "904042096",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Erlinda Maria Gordon, MD
• Jay N. Gordon, M.D., F.A.A.P.
• Martin A. Gordon, M.D.
• Rita Gordon, CNM
• Rebecca Gorin, LMFT
• Gorlitsky, Stein & Hernandez Medical Group, Co.
• Hailey Gorski
• Anita Michelle Gorwara, M.D.
• Brittani Gosh
• Azadeh Goshayeshi, DMD

• Internal Medicine Physician in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.