Jared Michael Gorter

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA62063 Issued in CA

Practice address

1240 S Westlake Blvd Ste 205
Westlake Village, CA 91361-1992

Phone

(805) 495-0551

Fax

(805) 494-1154

NPI assigned

Nov 18, 2022

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: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Integrated Dermatology of Westlake Village PCGroup PAC ID 7416352539, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Integrated Dermatology of Westlake Village, PC

  • Dermatology Physician
  • Westlake Village, CA
  • NPI 1295302917
  Medicare reassignment Care Compare group
• Island Dermatology, Inc

  • Dermatology Physician
  • Newport Beach, CA
  • NPI 1508815556
  Medicare reassignment
• Dermatology Associates of Westlake

  • Specialist
  • Westlake Village, CA
  • NPI 1265401251
  NPD
• Douglas G Hamilton Medical Corp

  • Dermatopathology Physician
  • Woodland Hills, CA
  • NPI 1093021495
  NPD
• Hai Tran, M.D., Inc.

  • Dermatology Physician
  • Victorville, CA
  • NPI 1639366966
  NPD

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

{
    "created_epoch": "1668729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1972212892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 EXCHANGE CT STE 110",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334314450",
            "telephone_number": "561-948-0291",
            "fax_number": "561-859-0429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 S WESTLAKE BLVD STE 205",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913611992",
            "telephone_number": "805-495-0551",
            "fax_number": "805-494-1154"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6325 Topanga Canyon Blvd Ste 301",
            "address_purpose": "LOCATION",
            "city": "Woodland Hills",
            "state": "CA",
            "postal_code": "913672029",
            "country_code": "US",
            "telephone_number": "818-884-7150",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GORTER",
        "first_name": "JARED",
        "middle_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-18",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA62063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Gonzalez Vasquez
• Lindsay Gooze
• Joanne Gordon, LMFT
• Kenneth Steven Gordon, PHD
• Renee Jenine Gordon, D.C.
• Sara Goss
• Brian Gottlieb, D.D.S.
• Brittney Grant, OTR/L, OTD
• Lauren Schnell Graovac, LMFT
• Lorraine Gray, MS

• Physician Assistant in Westlake Village, CA
• Providers in Westlake Village, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; 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.