Active NPI
Ari Heaton Gordon, PHARMD
- Pharmacist
- Los Angeles, CA
National Provider Identifier
1093204034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 70159
- Practice address
- 1803 Hillhurst Ave
Los Angeles, CA 90027-4407 - Phone
- (323) 663-8017
- Fax
- (323) 663-0770
- NPI assigned
- May 4, 2018
- Last updated
- May 4, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 70159 | CA | Primary |
Addresses
Primary practice location
1803 Hillhurst Ave
Los Angeles, CA 90027-4407
Mailing address
1803 Hillhurst Ave
Los Angeles, CA 90027-4407
Phone (323) 663-8017
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sun Drug Pharma Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525392000000",
"number": "1093204034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1803 HILLHURST AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900274407",
"telephone_number": "323-663-8017",
"fax_number": "323-663-0770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1803 HILLHURST AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900274407",
"telephone_number": "323-663-8017",
"fax_number": "323-663-0770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORDON",
"first_name": "ARI",
"middle_name": "HEATON",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-05-04",
"last_updated": "2018-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "70159",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.