Berry Gordon Denton

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

13399 Issued in CA

Practice address

856 W 19TH St
San Pedro, CA 90731-5314

Phone

(310) 519-8723

NPI assigned

Jun 23, 2023

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)

Not enrolled

State licenses

Practice roles

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.

• Fred Brown'S Recovery Services, Inc.

  • Substance Abuse Rehabilitation Facility
  • San Pedro, CA
  • NPI 1245778299
  NPD (past)
• Fred Brown'S Recovery Services, Inc.

  • Addiction (Substance Use Disorder) Counselor
  • San Pedro, CA
  • NPI 1558160887
  NPD (past)

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

{
    "created_epoch": "1687478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769385600000",
    "number": "1265118400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "856 W 19TH ST",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907315314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "856 W 19TH ST",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907315314",
            "telephone_number": "310-519-8723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENTON",
        "first_name": "BERRY",
        "middle_name": "GORDON",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-06-23",
        "last_updated": "2026-01-26",
        "certification_date": "2026-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "13399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Bezzi Demas, LMFT
• Laura Tracey Denblaker, D.C.
• Cabot Denny, DDS
• Garrick Denny, D.D.S.
• Maya Denola, MSW
• Thomas Deshotels, RADT
• Evelyn Marcia Desser, RN, MN, FNP-BC
• Alfred Alex Devin
• Jaskaran Dhingsa, M.D.
• Diagnostic Imaging and Dynamics, LLC

• Addiction (Substance Use Disorder) Counselor in San Pedro, CA
• Providers in San Pedro, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2026; 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.