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

Dr. David C Gorsulowsky, MD

Individual provider Specialist · NPI 1649272832

Dr. David C Gorsulowsky, MD is a Dermatology in Fremont, California. Graduated from Louisiana State University School of Medicine in New Orleans in 1980, 46 years ago. Practices with Csi Medical Group, a 104-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
46
Trained at
Louisiana State University School of Medicine in New Orleans
Licensed in
CA
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

39210 State St Ste 218
Fremont, CA 94538-1456
Phone: (510) 790-0477
Fax: (510) 790-1835
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence C42190 (CA)
Specialist Taxonomy 174400000X · Licence C042190 (CA)

Record details

NPI number1649272832
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 1, 2005
Last updated in NPPESMarch 13, 2024
Certification dateMarch 13, 2024
Mailing address39210 State St, Ste 218, Fremont, CA 94538-1456

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolLOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduated 1980 (46 years in practice)
Group practice Csi Medical Group — 104 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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