David C Gorsulowsky (NPI# 1649272832, PAC ID# 7214934967) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
Nation Provider ID (NPI) | 1649272832 |
PAC ID by PECOS | 7214934967 |
Professional Enrollment ID | I20061023000322 |
Full Name | David C Gorsulowsky |
Organization Legal Name | CSI MEDICAL GROUP |
Address |
39210 State St Suite 218 Fremont CA 94538-1456 |
Phone Number | 5107900477 |
Gender | M |
Credential | MD |
Medical School | LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS |
Graduation Year | 1980 |
Primary Specialty | DERMATOLOGY |
Group Practice PAC ID | 5890916845 |
Number of Group Practice Members | 82 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
050195 | WASHINGTON HOSPITAL |
Address | Phone | Organization |
---|---|---|
39210 State St, Suite 218, Fremont, CA 94538-1456 | 5107900477 | CSI MEDICAL GROUP |
Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
---|---|---|---|
ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
MIPS_EC_137_overall | Melanoma: Continuity of Care - Recall System | 100% | |
MIPS_EC_224_overall | Melanoma: Overutilization of Imaging Studies in Melanoma | 100% | |
MIPS_EC_238_2+ | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 0% | |
MIPS_EC_238_overall | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 1% | |
MIPS_EC_402_overall | Tobacco Use and Help with Quitting Among Adolescents | 97% |
Organization Legal Name | CSI MEDICAL GROUP |
Physicians | 74 |
Name | Specialty | Organization | Address |
---|---|---|---|
Stephanie Feldstein | Dermatology | Csi Medical Group | 1934 Via Ctr, Suite B, Vista, CA 92081-6056 |
Shih-ting Chiu | Physician Assistant | Csi Medical Group | 9781 Blue Larkspur Ln, Suite 100, Monterey, CA 93940-6509 |
Joel S Crockett | Dermatology | Csi Medical Group | 1101 Standiford Ave, A3, Modesto, CA 95350-0981 |
Ernest Bloom | Dermatology | Csi Medical Group | 501 S Shore Ctr W, Suite 103a, Alameda, CA 94501-5762 |
Paul C Tumeh | Dermatology | Csi Medical Group | 525 S Dr, Suite 115, Mountain View, CA 94040-4211 |
Peter K Webb | Dermatology | Csi Medical Group | 136 N San Mateo Dr, San Mateo, CA 94401-2777 |
Leon Lubianker | Dermatology | Csi Medical Group | 2420 Samaritan Dr, San Jose, CA 95124-3907 |
David B Friedman | Dermatology | Csi Medical Group | 1165 N Euclid St, Anaheim, CA 92801-1938 |
Susan D Wolf | Dermatology | Csi Medical Group | 3060 Broadway St, Redwood City, CA 94062-1512 |
David A South | Dermatology | Csi Medical Group | 204 Green Valley Rd, Freedom, CA 95019-3135 |
Street Address |
39210 STATE ST SUITE 218 |
City | FREMONT |
State | CA |
Zip | 94538-1456 |
Name | Specialty | Organization | Address |
---|---|---|---|
Vanessa C Arroyo | Physical Therapy | Samasta Services Inc | 39210 State St, Suite 202, Fremont, CA 94538-1456 |
Deepti Saxena | Family Medicine | 39210 State St, Suite 209, Fremont, CA 94538-1456 | |
Preetha H Nair | Physical Therapy | Samasta Services Inc | 39210 State St, Suite 202, Fremont, CA 94538-1456 |
Teresa Y Wong | Chiropractic | 39210 State St, Suite 110, Fremont, CA 94538-1456 | |
Ina Fitzgibbon | Physical Therapy | Samasta Services Inc | 39210 State St, Suite 202, Fremont, CA 94538-1456 |
Shobhana Gopalakrishnan | Physical Therapy | Samasta Services Inc | 39210 State St, Suite 202, Fremont, CA 94538-1456 |
Wayne Louis Angeloty | Physical Therapy | 39210 State St, Fremont, CA 94538-1456 |
Name | Specialty | Organization | Address |
---|---|---|---|
Basil R Besh | Orthopedic Surgery | Basil R Besh Md Inc | 39180 Farwell Dr, Suite 211, Fremont, CA 94538-1015 |
Joshua Ramos | Occupational Therapy | Basil R Besh Md Inc | 39180 Farwell Dr, Fremont, CA 94538-1015 |
Kevin Ngai Ming Yeung | Occupational Therapy | Basil R Besh Md Inc | 39180 Farwell Dr, Suite 211, Fremont, CA 94538-1015 |
Geeta Nasika | Physical Therapy | Basil R Besh Md Inc | 39180 Farwell Dr, Suite 211, Fremont, CA 94538-1015 |
Marci C Kneeter | Physical Therapy | Basil R Besh Md Inc | 39180 Farwell Dr, Suite 231, Fremont, CA 94538-1015 |
Kelly Trautman | Occupational Therapy | Basil R Besh Md Inc | 39180 Farwell Dr, Suite 211, Fremont, CA 94538-1015 |
Emily Hartnett | Occupational Therapy | Basil R Besh Md Inc | 39180 Farwell Dr, Suite 211, Fremont, CA 94538-1015 |
Joshua M Matthews | Orthopedic Surgery | Basil R Besh Md Inc | 39180 Farwell Dr, Suite 231, Fremont, CA 94538-1015 |
Troy Clark Shelton | Occupational Therapy | Basil R Besh Md Inc | 39180 Farwell Dr, Suite 211, Fremont, CA 94538-1015 |
Joan P Ferrari | Occupational Therapy | Basil R Besh Md Inc | 39180 Farwell Dr, Suite 211, Fremont, CA 94538-1015 |
Find all physicians in zip 94538 |
City | FREMONT |
Zip Code | 94538 |
Specialty | DERMATOLOGY |
City + Specialty | FREMONT + DERMATOLOGY |
Please comment or provide details below to improve the information on David C Gorsulowsky.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.