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

Jared Michael Gorter

Individual provider Physician Assistant · NPI 1972212892

Jared Michael Gorter is a Physician Assistant in Westlake Village, California. Qualified in 2022, 4 years ago. Practices with Integrated Dermatology of Westlake Village PC, a 6-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
4
Licensed in
CA
In the registry since
2022
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Practice location Address checks out

1240 S Westlake Blvd Ste 205
Westlake Village, CA 91361-1992
Phone: (805) 495-0551
Fax: (805) 494-1154
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6325 Topanga Canyon Blvd Ste 301, Woodland Hills, CA 91367-2029 — (818) 884-7150

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA62063 (CA)

Record details

NPI number1972212892
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 18, 2022
Last updated in NPPESAugust 5, 2026
Certification dateAugust 5, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Integrated Dermatology Of Westlake Village Pc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Westlake Village