Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Deitrick Leellen Gorman, DO

Individual provider Family Medicine Physician · NPI 1649281569

Deitrick Leellen Gorman, DO is a Family Practice in Modesto, California. Qualified in 2006, 20 years ago. Practices with Reeves County Hospital District, a 26-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California and Texas.

Years since qualifying
20
Licensed in
CA, TX
In the registry since
2006
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

600 Coffee Rd
Modesto, CA 95355-4201
Phone: (209) 550-4755
Fax: (510) 491-7522
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2349 Medical Dr, Pecos, TX 79772-2251 — (432) 447-0565

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 20A21341 (CA)
Family Medicine Physician Taxonomy 207Q00000X · Licence N4435 (TX)

Record details

NPI number1649281569
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedAugust 10, 2006
Last updated in NPPESMay 26, 2026
Certification dateMay 26, 2026
Mailing addressPo Box 255228, Sacramento, CA 95865-5228

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Also practisesOBSTETRICS/GYNECOLOGY
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Reeves County Hospital District — 26 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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