GARY GODOROV M.D.
NPI 1437197068
Emergency Medicine in Santa Ana, CA

Q: What is Gary Godorov's NPI number?

The NPI number for Gary Godorov is 1437197068. It was assigned to this individual provider in the NPPES registry on June 4, 2006.

Q: What is Gary Godorov's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Gary Godorov was last updated on November 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 04, 2006PECOS Enrolled

1001 N TUSTIN AVE, WESTERN MEDICAL CENTER - EMERGENCY DEPT - DR. GODOROV, SANTA ANA, CA 92705(310) 463-7387 Get Directions Write a Review

NPPES record last updated: November 29, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Gary Godorov M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GARY GODOROV M.D. (NPI 1437197068) is an individual emergency medicine provider in Santa Ana, California, licensed in California (A78224) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1437197068

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameGARY GODOROVCredential: M.D.

Location Address1001 N TUSTIN AVE, WESTERN MEDICAL CENTER - EMERGENCY DEPT - DR. GODOROVSanta Ana, CA 92705-3502

Mailing Address531 Main St, # 401El Segundo, CA 90245-3006 · (310) 463-7387

Phone(310) 463-7387

Sole ProprietorNo

Enumeration DateJune 4, 2006

Last NPPES UpdateNovember 29, 2021

✔ NPI 1437197068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in CA · A78224

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

1001 N TUSTIN AVE, Santa Ana, CA 92705

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gary Godorov M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Gary Godorov reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group

7.1 mi

Health Maintenance Organization

441 N LAKEVIEW AVE
Anaheim, CA 92807

Reassigned Medicare billing, California enrollment
13,921 clinicians in this Medicare group

NPI 1952333460 (714) 279-4000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92705 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MAURICE YU M.D.

Radiology (Diagnostic Radiology)

1001 N TUSTIN AVE, RADIOLOGY DEPT
SANTA ANA, CA 92705

Orange County (949) 583-9264

JI-GUANG JIN MD

Anesthesiology