Jean Gordon, M.D.,PH.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

G60973 Issued in CA

Practice address

2660 Solace PL
Suite C
Mountain View, CA 94040-4316

Phone

(650) 938-6559

Fax

(650) 938-6510

NPI assigned

Oct 24, 2006

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

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

Stanford University School of Medicine, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Jean Gordon, M.D. PH.D., Inc.

  • Specialist
  • Mountain View, CA
  • NPI 1871789420
  Medicare reassignment NPD Authorized official
• El Camino Hospital

  • General Acute Care Hospital
  • Mountain View, CA
  • NPI 1093712374
  NPD (past)

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306920822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2660 SOLACE PL",
            "address_2": "SUITE C",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940404316",
            "telephone_number": "650-938-6559",
            "fax_number": "650-938-6510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2660 SOLACE PL",
            "address_2": "SUITE C",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940404316",
            "telephone_number": "650-938-6559",
            "fax_number": "650-938-6510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "M.D.,PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G60973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Google Wellness Center 1950
• Google Wellness Center, B40
• Google Wellness Center, B48
• Poonam S Gorakshakar, MD.
• Kenneth D Goranson, MD
• James Brent Gorrell, D.D.S.
• Valerie Anne Goss, MFT
• Elizabeth Grace Pfeiffer Gossett, PSY.D.
• Sonali Gotmare, MD
• Katherine Goulden

• Specialist in Mountain View, CA
• Providers in Mountain View, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.