Gordon E Van Tassell, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20A6929 Issued in CA

Practice address

1300 N la Brea Ave
Hollywood, CA 90028-7504

Phone

(323) 464-1336

Fax

(323) 464-2163

NPI assigned

Jun 3, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Anaheim Urgent Care, Inc.

  • Urgent Care Clinic/Center
  • Anaheim, CA
  • NPI 1962680033

  Family Medicine

  Medicare reassignment NPD
• Exer Medical Corporation

  • Urgent Care Clinic/Center
  • Calabasas, CA
  • NPI 1588901532
  Medicare reassignment NPD
• Anaheim Urgent Care, Inc

  • Urgent Care Clinic/Center
  • Beverly Hills, CA
  • NPI 1619682788
  NPD
• Hollywood Urgent Care

  • Urgent Care Clinic/Center
  • Los Angeles, CA
  • NPI 1356767867
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1104864024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 N LA BREA AVE",
            "city": "HOLLYWOOD",
            "state": "CA",
            "postal_code": "900287504",
            "telephone_number": "323-464-1336",
            "fax_number": "323-464-2163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 N LA BREA AVE",
            "city": "HOLLYWOOD",
            "state": "CA",
            "postal_code": "900287504",
            "telephone_number": "323-464-1336",
            "fax_number": "323-464-2163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN TASSELL",
        "first_name": "GORDON",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A6929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Susac, MFT
• Talia Tabaroki, PHARMD.
• Tak Sun Tan
• Thrifty Payless Inc
• Joseph A Ureno, NMD
• Mary Hannah Veal, PA-C
• Vick Kargodorian DDS Inc.
• Jamie Clarice Watkins, B.A.
• Rebecca Celia White, M,A., LMFT
• Shakela Wilson

• Family Medicine Physician in Hollywood, CA
• Providers in Hollywood, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.