Active NPI
Jonathan Stanley Gordin, M.D.
- Interventional Cardiology Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- A126076
- Practice address
- 200 Med Plaza, #365,420,120
Los Angeles, CA 90024-0001 - Phone
- (818) 843-9020
- NPI assigned
- Apr 30, 2010
- 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 |
|---|---|---|---|---|
| Interventional Cardiology Physician | 207RI0011X | A126076 | CA | Primary |
Addresses
Primary practice location
200 Med Plaza, #365,420,120
Los Angeles, CA 90024-0001
Mailing address
5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631
Phone (310) 794-9736
Other practice location 1
Ucla Card A2 237 Chs Mc 167917
650 Charles E Young Dr S
Los Angeles, CA 90095-0001
Phone (310) 794-9736
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2020 Santa Monica Blvd
Suite 210
Santa Monica, CA 90404-2139
Phone (310) 458-2381
700 W 7TH St
S270 D
Los Angeles, CA 90017-3768
Phone (213) 896-0010
757 Westwood PLZ
Los Angeles, CA 90095-8358
Phone (310) 267-9643
Hospital & facility affiliations
- California Hospital Medical Center la
- Ronald Reagan UCLA Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.51 of 100
- Quality
- 79.37
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.65
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.78 of 100
- Quality
- 80.38
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A126076 | CA | MD | Interventional Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Los Angeles | Current | Accepting new patients | |
| The Regents of the University of California | Current | Accepting new patients | |
| Martin Luther King Jr Community Medical Foundation | Current | Accepting new patients | |
| The Regents of the University of California | Current | Accepting new patients | |
| County of Los Angeles | Current | Accepting new patients | |
| Martin Luther King Jr Community Medical Foundation | Current | Accepting new patients | |
| Martin Luther King Jr Community Medical Foundation | Interventional Cardiology | Current | Accepting new patients |
| UCLA Medical Group | Past | Accepting new patients |
Locations
2251 W Rosecrans Ave
Ste 21
Compton, CA 90222
Phone (424) 338-8792
2215 W Rosecrans Ave
Ste 22
Compton, CA 90222
Phone (424) 529-6755
700 W 7th St
Ste S270D
Los Angeles, CA 90017
Phone (213) 988-8339
650 Charles E Young Dr S
Los Angeles, CA 90095
Phone (310) 206-6286
5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200
File 55737
Los Angeles, CA 90074
2020 Santa Monica Blvd
Ste 210
Santa Monica, CA 90404
Phone (310) 458-2381
14445 Olive View Dr
Sylmar, CA 91342
Phone (881) 836-4303
Interoperability endpoints
- jgordin148483@direct.uclahealth.org
Organizations & group practices 8
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.
-
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1235107566
-
- General Acute Care Hospital
- Torrance, CA
- NPI 1851363188
-
- Multi-Specialty Clinic/Center
- Los Angeles, CA
- NPI 1356899777
Interventional Cardiology
-
- Clinic/Center
- Los Angeles, CA
- NPI 1295407401
-
- Radiology Clinic/Center
- Los Angeles, CA
- NPI 1346082294
-
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1639704323
-
- Ambulatory Surgical Clinic/Center
- Valencia, CA
- NPI 1689200305
-
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1043427248
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1114081056
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1902803315
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532995200000",
"number": "1174840102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5767 W CENTURY BLVD STE 400",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900455631",
"telephone_number": "310-794-9736"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 MED PLAZA, #365,420,120",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900240001",
"telephone_number": "818-843-9020"
}
],
"practiceLocations": [
{
"address_1": "Ucla Card A2 237 Chs Mc 167917",
"address_2": "650 CHARLES E YOUNG DR S",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900950001",
"country_code": "US",
"telephone_number": "310-794-9736",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GORDIN",
"first_name": "JONATHAN",
"middle_name": "STANLEY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-04-30",
"last_updated": "2018-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "CA",
"license": "A126076",
"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 Jul 31, 2018; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.