DANIEL E GORMLEY (NPI# 1386629210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386629210 |
| Entity Type | Individual |
| Full Name | DANIEL E GORMLEY |
| Credential | MD |
| Practice Address |
412 W Carroll Ave Ste 207 Glendora CA 91741-4240 |
| Practice Telephone | 6269637684 |
| Practice Fax Number | 6269630575 |
| Mailing Telephone | 6269637684 |
| Mailing Fax Number | 6269630575 |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2008-02-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | A21148 | CA | Allopathic & Osteopathic Physicians |
| N | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
A21148 | CA | Allopathic & Osteopathic Physicians |
| N | 207ND0900X |
Dermatology Specialization: Dermatopathology |
A21148 | CA | Allopathic & Osteopathic Physicians |
| N | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
A21148 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
412 W CARROLL AVE STE 207 |
| City | GLENDORA |
| State | CA |
| Zip Code | 91741-4240 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992796411 | Charles Kenneth Metzger | Urology | 412 W Carroll Ave, Ste 200, Glendora, CA 91741-4240 | 2005-11-03 |
| 1043590912 | Jacqueline Bracy, M.d., Inc. | Obstetrics & Gynecology | 412 W Carroll Ave, Suite 107, Glendora, CA 91741-4240 | 2011-08-24 |
| 1548382203 | Naji Kandalaft Md Inc. | Internal Medicine | 412 W Carroll Ave, Suite 204, Glendora, CA 91741-4240 | 2007-04-04 |
| 1528168580 | Sharon Kay Muenchow | Surgery | 412 W Carroll Ave, Suite 106, Glendora, CA 91741-4240 | 2006-09-22 |
| 1730287475 | Bruce James Weimer | Psychiatry & Neurology | 412 W Carroll Ave, Suite 203, Glendora, CA 91741-4240 | 2006-09-20 |
| 1922101971 | Daniel E Gormley Md A Professional Corporation | Dermatology | 412 W Carroll Ave, Suite #207, Glendora, CA 91741-4280 | 2006-09-06 |
| 1437251584 | Howard K Newman | Surgery | 412 W Carroll Ave, Suite 106, Glendora, CA 91741-4240 | 2006-09-01 |
| 1770685836 | Howard K Newman, M.d., Inc | Surgery | 412 W Carroll Ave, Suite 106, Glendora, CA 91741-4240 | 2006-09-01 |
| 1578577813 | Naji Kandalaft | Internal Medicine | 412 W Carroll Ave, Ste 204, Glendora, CA 91741-4240 | 2006-07-29 |
| 1245214261 | Zhiwen Lu Md Inc | Internal Medicine | 412 W Carroll Ave, Ste 104, Glendora, CA 91741-4704 | 2005-12-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083244016 | Monica Keo | Psychiatry & Neurology | 501 South Grand Avenue, #200, Glendora, CA 91741 | 2020-01-17 |
| 1871144816 | Djpnicolas, LLC | Clinic/Center | 144 N. Grand Avenue, Glendora, CA 91741 | 2019-09-20 |
| 1518517192 | Ashlyn Kate Cherry | Social Worker | 916 W. Danton Drive, Glendora, CA 91741 | 2019-09-16 |
| 1497284889 | Maged Guirguis | Private Vehicle | 1262 E Ada Ave, Glendora, CA 91741 | 2017-06-08 |
| 1952793200 | Dignity Transportation Service Inc | Private Vehicle | 255 S Glendora Ave #1613, Glendora, CA 91741 | 2015-02-24 |
| 1437568029 | Arakelyan Aznavour Dental Corporation | Dentist | 175 N Pennsylvania Ave #3, Glendora, CA 91741 | 2014-08-07 |
| 1528481223 | Lucinda Lorraine Schoenick | Nurse Practitioner | 250 S. Grand Ave, Glendora, CA 91741 | 2014-01-31 |
| 1073837548 | Advanced Dental Smiles | Dentist | 455 W. Foothill Blvd, Glendora, CA 91741 | 2010-03-26 |
| 1346404621 | Amee Brown | Occupational Therapist | 401 W. Ada Ave., Glendora, CA 91741 | 2008-07-15 |
| 1356539183 | Orthopaedic Medical Group | Specialist | 412 W Carroll St, Ste 107, Glendora, CA 91741 | 2007-10-05 |
| Find all providers in zip 91741 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457982001 | Modesty Joy Isaguirre | Dermatology | 140 S Grand Ave, Glendora, CA 91741-4259 | 2020-02-03 |
| 1295362234 | Modesty Electrology | Dermatology | 140 S Grand Ave, Glendora, CA 91741-4259 | 2020-03-26 |
| 1306257381 | Huyenlan Dinh | Dermatology | 1377 S Grand Ave, Glendora, CA 91740-5047 | 2014-05-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275144024 | Lumins Aesthetic and Wellness, Inc | Dermatology | 20281 Sw Birch St, Suite 201, Newport Beach, CA 92660 | 2020-08-14 |
| 1669081204 | Lucy Boyadzhian | Dermatology | 7472 Melrose Ave, Los Angeles, CA 90046-7524 | 2020-07-29 |
| 1033730981 | Adrianna Janell Browne, Md, Inc. | Dermatology | 8 Camino Encinas Ste 115, Orinda, CA 94563-3350 | 2020-05-01 |
| 1215564877 | Jasmine Khachatrian | Dermatology | 302 Sierra Woods Dr, Sierra Madre, CA 91024-1015 | 2020-03-24 |
| 1386277499 | Jessica Hsu, M.d.,inc | Dermatology | 1506 Chapman Avenue, Address Line 2, Orange, CA 92866 | 2020-02-17 |
| 1245862101 | Yuval Bibi, A Professional Corporation | Dermatology | 7266 Franklin Ave Apt 321, Los Angeles, CA 90046-8324 | 2020-02-09 |
| 1790322063 | Mfc Dermatology | Dermatology | 3655 Lomita Blvd Ste 221, Torrance, CA 90505-1918 | 2019-12-05 |
| 1336784206 | Barbara Kinkle Pa Inc., A Physician Assistant Corporation | Dermatology | 24575 Hunt Ave, Corning, CA 96021-8607 | 2019-11-14 |
| 1497399141 | Dermatology Specialists Inc | Dermatology | 4765 Carmel Mountain Rd Ste 201, San Diego, CA 92130-6657 | 2019-11-05 |
| 1831730514 | Amneet Kaur Brar | Dermatology | 7055 N Fresno St Ste 310, Fresno, CA 93720-2957 | 2019-10-03 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.