Carla Collins Gorum, MD

Pediatrics Physician · Capitola, CA

Individual Active NPI

NPI number 1679560197

Practice location

1820 41st Ave
Suite D
Capitola, CA 95010-2516
Phone
(831) 476-3000
Fax
(831) 476-9009

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NPI record

NPI
1679560197
Entity type
Individual (Type 1)
Enumeration date
September 29, 2005
Last updated
November 2, 2012
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatrics Physician Primary 208000000X A86939 CA

Mailing address

3400 Data Dr
Rancho Cordova, CA 95670-7956
Phone
(916) 379-2915

About Dr. Gorum

Carla Collins Gorum, MD is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatrics Physician (code 208000000X). The practice location is 1820 41st Ave, Suite D, Capitola, CA 95010-2516. The NPI number 1679560197 was assigned on September 29, 2005 and the record was last updated on November 2, 2012.

Dr. Gorum lists a license in the registry: #A86939 (CA) for Pediatrics Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Carla Collins Gorum, MD?

The NPI number is 1679560197.

What is the phone number of Dr. Gorum?

The phone number listed for the practice location is (831) 476-3000.

Where is Dr. Gorum located?

1820 41st Ave, Suite D, Capitola, CA 95010-2516.

What is the taxonomy code for Dr. Gorum?

The primary taxonomy code is 208000000X – Pediatrics Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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