Individual provider Active NPI

Eural E. Gordon, NP, PA-C

  • Medical Physician Assistant
  • Bakersfield, CA
National Provider Identifier
1174657514
Registry record updated Mar 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA14051 Issued in CA
Practice address
7400 District Blvd Ste C
Bakersfield, CA 93313-4818
Phone
(661) 847-9773
NPI assigned
Mar 16, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA14051 CA Primary

Addresses

Primary practice location

7400 District Blvd Ste C
Bakersfield, CA 93313-4818

Mailing address

3505 Strawberry Meadow CT
Bakersfield, CA 93313-4488
Phone (661) 747-2795

Other identifiers 1

IdentifierTypeStateIssuer
3611140MedicaidCA

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120423000270 CA Practitioner - Physician Assistant 4183891245 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Un of California, Irvine, College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pinnacle Primary Care IncGroup PAC ID 6204003361, 2 clinicians

Practice addresses (Care Compare)

1520 Brundage LN
Bakersfield, CA 93304-2949
Phone (661) 321-9138

7400 District Blvd C
Bakersfield, CA 93313-4818
Phone (661) 847-9773

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
42.58 of 100Reported as individual
Quality
20
Improvement activities
0
Cost
89.02

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Emergency Physicians of Bakersfield, a Professional Corp CurrentSince Feb 9, 2013 Accepting new patients

Locations

420 34th St
Bakersfield, CA 93301
Phone (661) 324-4647

Organizations & group practices 2

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393804800000",
    "number": "1174657514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3505 STRAWBERRY MEADOW CT",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933134488",
            "telephone_number": "661-747-2795",
            "fax_number": "661-847-9776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 DISTRICT BLVD STE C",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933134818",
            "telephone_number": "661-847-9773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "EURAL",
        "middle_name": "E.",
        "name_prefix": "Mr.",
        "credential": "NP, PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-16",
        "last_updated": "2014-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA14051",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3611140",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.