Individual provider Active NPI

John Gordan, M.D., PH.D.

  • Medical Oncology Physician
  • San Bruno, CA
National Provider Identifier
1487881066
Registry record updated Jan 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
A116078 Issued in CA
Practice address
1001 Sneath LN
San Bruno, CA 94066-2308
Phone
(650) 615-6000
Fax
(650) 615-6015
NPI assigned
Jun 22, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X CA
Medical Oncology Physician 207RX0202X A116078 CA Primary

Addresses

Primary practice location

1001 Sneath LN
San Bruno, CA 94066-2308

Mailing address

1001 Sneath LN
San Bruno, CA 94066-2308
Phone (650) 615-6000

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20130529000798 CA Practitioner - Hematology/OncologyPractitioner - Internal MedicinePractitioner - Medical Oncology 2668610841 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
Perelman School of Med at the University of Pennsylvania, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
UCSF Medical Group Business ServicesGroup PAC ID 3779497870, 1,533 clinicians

Practice addresses (Care Compare)

400 Parnassus Ave
San Francisco, CA 94143-2202
Phone (415) 476-1000

400 Parnassus Ave
McB300
San Francisco, CA 94143-0810
Phone (415) 476-1000

505 Parnassus Ave
San Francisco, CA 94143-2204
Phone (415) 476-4029

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.01 of 100Reported as group
Quality
86.78
Improvement activities
40
Cost
70.46

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
95
Improvement activities
40
Cost
80.65

Merit-based Incentive Payment System (MIPS)

Final score
84.89 of 100Reported as group
Quality
81.13
Improvement activities
40
Cost
71.5

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
University of California San Francisco Current Accepting new patients
UCSF Medical Group Business Services CurrentSince Jun 1, 2013 Accepting new patients
Regents of the University of California Medical Oncology CurrentSince Jun 1, 2013 Accepting new patients
UCSF Medical Group Business Services Medical Oncology CurrentSince Jun 1, 2013 Accepting new patients
University of California San Francisco CurrentSince Jun 1, 2013 Accepting new patients
University of California San Francisco CurrentSince Jun 1, 2013 Accepting new patients
University of California San Francisco Medical Center Past Accepting new patients
Regents of the University of California Past Accepting new patients

Locations

1825 4th St
Fl 4
San Francisco, CA 94143
Phone (415) 353-9888

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

400 Parnassus Ave
#A808
San Francisco, CA 94143
Phone (415) 353-2366

1825 4th St
#4
San Francisco, CA 94143

3333 California St
#S110
San Francisco, CA 94118
Phone (415) 514-2664

1600 Divisadero St
Fl 4
San Francisco, CA 94143
Phone (415) 353-7100

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

400 Parnassus Ave
#300
San Francisco, CA 94143
Phone (415) 476-2163

Organizations & group practices 8

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1245628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515542400000",
    "number": "1487881066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 SNEATH LN",
            "city": "SAN BRUNO",
            "state": "CA",
            "postal_code": "940662308",
            "telephone_number": "650-615-6000",
            "fax_number": "650-615-6015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 SNEATH LN",
            "city": "SAN BRUNO",
            "state": "CA",
            "postal_code": "940662308",
            "telephone_number": "650-615-6000",
            "fax_number": "650-615-6015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDAN",
        "first_name": "JOHN",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-22",
        "last_updated": "2018-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "CA",
            "license": "A116078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bruno, CA

Sources for this page

Verify at the official NPI Registry.