Kathy Gordon-Swan

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

25100000X Issued in CA

Practice address

52 Dore St
San Francisco, CA 94103-3828

Phone

(415) 861-0828

Fax

(415) 861-0140

NPI assigned

Sep 20, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1474329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576540800000",
    "number": "1215485149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "368 FELL ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941025144",
            "telephone_number": "408-963-7350",
            "fax_number": "415-861-0140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 DORE ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941033828",
            "telephone_number": "415-861-0828",
            "fax_number": "415-861-0140"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1405 Magnolia Ave",
            "address_purpose": "LOCATION",
            "city": "Millbrae",
            "state": "CA",
            "postal_code": "940301304",
            "country_code": "US",
            "telephone_number": "408-963-7350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GORDON-SWAN",
        "first_name": "KATHY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-20",
        "last_updated": "2019-12-17",
        "certification_date": "2019-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "CA",
            "license": "25100000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMC",
            "identifier": "414118",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1457646960",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bret Kinsey Gorden, LCSW
• Rana Gordji, MD
• Gordon C Lundy MD a Professional Corporation
• Gordon C. Lundy
• Carnella Gordon-Brown, LCSW
• Adrienne Gordon, LCSW
• Amy E Gordon, M.S. L.AC
• Bonnie Gail Gordon, L.C.S.W.
• Caitlin Elizbaeth Gordon, NP
• Courtney Gordon, NP

• Community Health Worker in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Community Health Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.