JOHN R GORNY MD INC (NPI# 1790945970) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790945970 |
| Entity Type | Organization |
| Organization Name | JOHN R GORNY MD INC |
| Practice Address |
665 Camino De Los Mares 203a San Clemente CA 92673-2859 |
| Practice Telephone | 9496613101 |
| Practice Fax Number | 9496612865 |
| Mailing Telephone | 9496613101 |
| Mailing Fax Number | 9496612865 |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2008-06-11 |
| Authorized Official Name | DR. JOHN R GORNY (DOCTOR) |
| Authorized Official Telephone | 9496613101 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | G12635 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G126350 | 05 | |
| CA | DEA | AG5315064 | 01 |
| Street Address |
665 CAMINO DE LOS MARES 203A |
| City | SAN CLEMENTE |
| State | CA |
| Zip Code | 92673-2859 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063419604 | Gabriel Carabulea | Internal Medicine | 665 Camino De Los Mares, Ste 208, San Clemente, CA 92673-2859 | 2005-06-28 |
| 1013250729 | Anesthesia Snooz Inc | Anesthesiology | 665 Camino De Los Mares, #103, San Clemente, CA 92673-2859 | 2013-04-01 |
| 1053573519 | Hitesh K. Patel | Internal Medicine | 665 Camino De Los Mares, Suite 200, San Clemente, CA 92673-2859 | 2008-06-26 |
| 1548459944 | Karen Suzanne Potter | Dentist | 665 Camino De Los Mares, Suite 204, San Clemente, CA 92673-2859 | 2007-10-22 |
| 1699978304 | Theodore Vandam M.d. | Internal Medicine | 665 Camino De Los Mares, Ste 210, San Clemente, CA 92673-2859 | 2007-06-08 |
| 1346457009 | Dena Marie De La Torre | Registered Nurse | 665 Camino De Los Mares, Suite 203a, San Clemente, CA 92673-2859 | 2007-05-16 |
| 1609990209 | William W Martin Phd PC | Psychologist | 665 Camino De Los Mares, Suite 104, San Clemente, CA 92673 | 2007-03-19 |
| 1427189125 | Victor Brady Craig | Pharmacist | 665 Camino De Los Mares, # 101, San Clemente, CA 92673-2859 | 2007-03-07 |
| 1952437261 | Painmd Medical Associates Inc | Pain Medicine | 665 Camino De Los Mares, Suite 202, San Clemente, CA 92673-2859 | 2007-02-23 |
| 1235273327 | Daniel T. Tam, M.d. Inc | Internal Medicine | 665 Camino De Los Mares, Ste 305, San Clemente, CA 92673-2841 | 2007-02-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497246474 | Cynthia Hull Warren | Nutritionist | 2027 Via Concha, San Clemente, CA 92673 | 2018-05-24 |
| 1063942688 | Trinh T Tran | Pharmacist | 638 Camino De Los Mares #d5, San Clemente, CA 92673 | 2017-06-15 |
| 1427421791 | Jessica A Currens | Nurse Practitioner | 1001 Avenida Pico Ste C517, San Clemente, CA 92673 | 2015-11-08 |
| 1184010647 | Garrett Bryon Rubio | Student in an Organized Health Care Education/Training Program | 905 Calle Amanecer Ste. 265, San Clemente, CA 92673 | 2015-04-11 |
| 1255733853 | Body Mind Spirit Iop Inc | Psychologist | 665 Camino De Los Mares Ste 104, San Clemente, CA 92673 | 2014-09-25 |
| 1548677438 | Jessica Ann Riley | Dermatology | 1300 Avenida Vista Hermosa Ste 150, San Clemente, CA 92673 | 2014-07-13 |
| 1427398718 | Veena Menda | Specialist | 2232 Calle Opalo, San Clemente, CA 92673 | 2013-02-22 |
| 1124383781 | Alexandra Rose Corporation | Substance Abuse Rehabilitation Facility | 4009 Calle Abril, San Clemente, CA 92673 | 2012-07-10 |
| 1457612574 | Noelle J Deckman | Psychologist | 629 Camino De Los Mares Ste 207a, San Clemente, CA 92673 | 2012-06-05 |
| 1851686471 | Meighan Bartholomew Merono | Pharmacist | 990 Avenida Vista Hermosa, San Clemente, CA 92673 | 2011-06-10 |
| Find all providers in zip 92673 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285906693 | Anthony T Ledonne | Obstetrics & Gynecology | 16 Corte Vizcaya, San Clemente, CA 92673-6853 | 2012-01-31 |
| 1922320340 | Bijan Bagher Moridani | Obstetrics & Gynecology | 803 Avenida Presidio, San Clemente, CA 92672-2215 | 2010-02-26 |
| 1639409329 | Christine Katherine Hrountas | Obstetrics & Gynecology | 1303 Avenida De Verdes, San Clemente, CA 92672-9466 | 2010-01-03 |
| 1104960251 | John Russell Gorny | Obstetrics & Gynecology | 665 Camino De Los Mares, Suite 203a, San Clemente, CA 92673-2859 | 2007-02-19 |
| 1548365786 | Mission Ob/gyn Medical Group, Inc | Obstetrics & Gynecology | 665 Camino De Los Mares, Ste 303-a, San Clemente, CA 92673-2859 | 2006-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639786122 | My Virtual Physician, P.c | Obstetrics & Gynecology | 4900 California Ave Fl 2, Bakersfield, CA 93309-7024 | 2020-09-28 |
| 1942817804 | La Vista Health | Obstetrics & Gynecology | 180 W Willow St Unit 3, Pomona, CA 91768-1800 | 2020-09-24 |
| 1629685730 | Farshid Moossazadeh, M.d., A Professional Corporation | Obstetrics & Gynecology | 11633 Hawthorne Blvd Ste 300, Hawthorne, CA 90250-2369 | 2020-09-23 |
| 1528673886 | Dtla Gynecology | Obstetrics & Gynecology | 1245 Wilshire Blvd Ste 690, Los Angeles, CA 90017-4880 | 2020-09-14 |
| 1659982130 | Anaya Women's Ob/gyn Group | Obstetrics & Gynecology | 18056 Wika Rd Ste B, Apple Valley, CA 92307-2194 | 2020-08-10 |
| 1477163046 | Pioneers Memorial Healthcare District | Obstetrics & Gynecology | 751 W Legion Rd Ste 204, Brawley, CA 92227-7755 | 2020-08-07 |
| 1669093357 | Adventist Health Physicians Network | Obstetrics & Gynecology | 1505 Wilson Ter Ste 300, Glendale, CA 91206-4073 | 2020-05-04 |
| 1376180893 | Elisa M Lindley Md Corporation | Obstetrics & Gynecology | 41750 Rancho Las Palmas Dr Ste D1, Rancho Mirage, CA 92270-5512 | 2019-12-03 |
| 1043864184 | Gail Mezrow | Obstetrics & Gynecology | 1280 Coldwater Canyon Dr, Beverly Hills, CA 90210-2405 | 2019-07-26 |
| 1417516444 | Matrix Clinical Research | Obstetrics & Gynecology | 1919 W 7th St Fl 2, Los Angeles, CA 90057-4103 | 2019-06-12 |
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| City | SAN CLEMENTE |
| Zip Code | 92673 |
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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.