Debra Gologorsky, M.D.
Pathology, Anatomic Pathology & Clinical Pathology in Oakland, CA. Individual provider (NPI-1).
NPI number1174592687
StatusActive
Last updated in NPPESJul 12, 2007
Details
- NPI
- 1174592687
- Entity type
- Individual (NPI-1)
- Name
- Debra Gologorsky
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 16, 2006
- Last updated
- Jul 12, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PATHOLOGY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207ZP0102X | Pathology, Anatomic Pathology & Clinical Pathology | G59865 | CA | Yes |
| 207ZC0500X | Pathology, Cytopathology | G59865 | CA |
Practice location
350 Hawthorne AveOakland, CA 94609-3108
Phone 510-869-6567
Mailing address
Po Box 10076Van Nuys, CA 91410-0076
Phone 805-578-8300 · Fax 805-578-8950
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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