Anna Valerievna Goritskaia, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

105260 Issued in CA

Practice address

1188 Mission St Apt 2318
San Francisco, CA 94103-6757

Phone

(415) 424-3961

NPI assigned

Aug 14, 2020

Sex

Female

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

Interoperability endpoints

• Direct secure messaging: anna.goritskaia.p1@direct.frth.nextgenshare.com

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.

• United Health Centers of the San Joaquin Valley

  • Federally Qualified Health Center (FQHC)
  • Huron, CA
  • NPI 1134101686
  NPD (past)

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

{
    "created_epoch": "1597363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608163200000",
    "number": "1922619634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1188 MISSION ST APT 2318",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941036757",
            "telephone_number": "415-424-3961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1188 MISSION ST APT 2318",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941036757",
            "telephone_number": "415-424-3961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORITSKAIA",
        "first_name": "ANNA",
        "middle_name": "VALERIEVNA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-14",
        "last_updated": "2020-12-17",
        "certification_date": "2020-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "105260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Goren
• Guido J Gores Jr., MD
• Molly Moran Gorgol, RD
• Jamin N Gorham, DPT
• Shlomit Gorin, PSYD
• Niyayesh Gorjikia, DPM
• Julia Gorka, AMFT
• Gregory John Gorman, D.C.
• Malka J. Gorman, PSY.D.
• Matthew Francis Gorman, M. D.

• Dentist in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2020; 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.