Active NPI
Martin N Gordon MD
- Pulmonary Disease Physician
- Beverly Hills, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- G31316
- Legal business name
- MARTIN N GORDON MD
- Practice address
- 9401 Wilshire Blvd
Suite 515
Beverly Hills, CA 90212-2928 - Phone
- (310) 432-6260
- NPI assigned
- Oct 11, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Martin N Gordon, MD
- Title
- President
- Phone
- (310) 432-4260
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | G31316 | CA | Primary |
Addresses
Primary practice location
9401 Wilshire Blvd
Suite 515
Beverly Hills, CA 90212-2928
Mailing address
9401 Wilshire Blvd
Suite 515
Beverly Hills, CA 90212-2928
Phone (310) 432-6260
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D1077012 | Martin N Gordon MD | Certificate of waiver | Nov 28, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Martin N Gordon MD
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Family Medicine Physician
- Beverly Hills, CA
- NPI 1982715819
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pulmonary Disease Physician
- Beverly Hills, CA
- NPI 1447353313
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192060800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1436745600000",
"number": "1184812489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9401 WILSHIRE BLVD",
"address_2": "SUITE 515",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902122928",
"telephone_number": "310-432-6260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9401 WILSHIRE BLVD",
"address_2": "SUITE 515",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902122928",
"telephone_number": "310-432-6260"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARTIN N GORDON MD",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-11",
"last_updated": "2015-07-13",
"status": "A",
"authorized_official_last_name": "GORDON",
"authorized_official_first_name": "MARTIN",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "310-432-4260",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "CA",
"license": "G31316",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beverly Hills, CA
- Andre Paul Marshall, MD
- Jean H Marshall, LAC
- Carmen Marti, MSN FNP-BC
- Martin Cooper MD Inc
- Martin J Winer DDS Inc (Beverly Hills Triangle Family Dental Care)
- Martin N Gordon MD
- Martin P Alongi (Beverly Hills Podiatry)
- Martin S. Cousineau M.D. Inc.
- Clark Andrew Martin Sr., DMD
- Neil Allan Martin, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.