Patrick John Goroski, DDS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

53066 Issued in CA

Practice address

1036 Vine St
Paso Robles, CA 93446-2559

Phone

(805) 238-9581

Fax

(805) 238-5655

NPI assigned

Feb 16, 2007

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

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Goroski Dental Corporation

  • Periodontics
  • Paso Robles, CA
  • NPI 1669777199
  NPD (past) Authorized official

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294876800000",
    "number": "1912041682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1036 VINE ST",
            "city": "PASO ROBLES",
            "state": "CA",
            "postal_code": "934462559",
            "telephone_number": "805-238-9581",
            "fax_number": "805-238-5655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1036 VINE ST",
            "city": "PASO ROBLES",
            "state": "CA",
            "postal_code": "934462559",
            "telephone_number": "805-238-9581",
            "fax_number": "805-238-5655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOROSKI",
        "first_name": "PATRICK",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-16",
        "last_updated": "2011-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "53066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Gonzales
• Cesar Gonzalez, A.T.C.
• Shantal Alexandra Gonzalez
• Soquel L. Goodin, NP-C
• Goroski Dental Corporation
• Amy Renee Grace, SLP
• Graham Shadwick, DDS, a California Professional Dental Corporation
• Julianna Summers Graton, RN
• Anthony Graves
• Elizabeth Christine Graves, LCSW

• Periodontics in Paso Robles, CA
• Providers in Paso Robles, CA by specialty
• Periodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.