Active NPI
Stephen R. Gordon, M.D.
- Specialist
- Santa Barbara, CA
National Provider Identifier
1235272881
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- G24418
- Practice address
- 514 W Pueblo St
Second Floor
Santa Barbara, CA 93105-6207 - Phone
- (805) 682-7751
- Fax
- (805) 563-2527
- NPI assigned
- Feb 14, 2007
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | G24418 | CA | Primary |
Addresses
Primary practice location
514 W Pueblo St
Second Floor
Santa Barbara, CA 93105-6207
Mailing address
514 W Pueblo St
Second Floor
Santa Barbara, CA 93105-6207
Phone (805) 682-7751
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24418 | CA | MD | Addiction (Substance Use Disorder) Counselor |
| G24418 | CA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1235272881",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "514 W PUEBLO ST",
"address_2": "SECOND FLOOR",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "931056207",
"telephone_number": "805-682-7751",
"fax_number": "805-563-2527"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "514 W PUEBLO ST",
"address_2": "SECOND FLOOR",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "931056207",
"telephone_number": "805-682-7751",
"fax_number": "805-563-2527"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORDON",
"first_name": "STEPHEN",
"middle_name": "R.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-14",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "G24418",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Barbara, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.