Craig David Gordon, MD

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

C54923 Issued in CA

Practice address

9460 Wilshire Blvd
Suite 420
Beverly Hills, CA 90212

Phone

(213) 304-6199

Fax

(213) 486-9249

NPI assigned

Jul 7, 2005

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1215934971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9460 WILSHIRE BLVD",
            "address_2": "SUITE 420",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "90212",
            "telephone_number": "213-304-6199",
            "fax_number": "213-486-9249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9460 WILSHIRE BLVD",
            "address_2": "SUITE 420",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "90212",
            "telephone_number": "213-304-6199",
            "fax_number": "213-486-9249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "CRAIG",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2023-03-07",
        "certification_date": "2022-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "CA",
            "license": "C54923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judith L. Goodman, PH.D.
• Lauren Goodman, NP
• Mark P Goodman, M.D.
• Mary Bevens Goodman, NP-C
• Sarah Gordis, LCSW
• Denise Gordon, PSY.D., M.F.T.
• James Gordon, PH.D., M.F.T.
• Jonathan Melvin Gordon
• Martin N Gordon, M.D.
• Patricia S. Gordon, MD

• Rheumatology Physician in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Rheumatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.