Individual provider Active NPI

Alison Nicole Gordon, MD

  • Ophthalmology Physician
  • San Diego, CA
National Provider Identifier
1497072409
Registry record updated Apr 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A101181 Issued in CA
Practice address
8910 University Center LN
Suite 800
San Diego, CA 92122-1029
Phone
(858) 455-6800
Fax
(858) 455-0244
NPI assigned
Apr 29, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X A101181 CA Primary

Addresses

Primary practice location

8910 University Center LN
Suite 800
San Diego, CA 92122-1029

Mailing address

8910 University Center LN
Suite 800
San Diego, CA 92122-1029
Phone (858) 455-6800

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
I20101105000116 CA Practitioner - Ophthalmology 6305030149 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Icahn School of Medicine at Mount Sinai, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4130 La Jolla Village Dr
Suite 300
La Jolla, CA 92037-1481
Phone (858) 455-6800

Merit-based Incentive Payment System (MIPS)

Final score
89.49 of 100Reported as group
Quality
94.56
Improvement activities
40
Cost
72.21

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery72

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A101181CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gordon Schanzlin New Vision Institute, Inc. a Professional Medical Cor Ophthalmology CurrentSince Aug 1, 2016 Accepting new patients
Vision Surgery & Laser Center a Surgical Medical Group Inc Ophthalmology CurrentSince Sep 1, 2010 Accepting new patients
Stanford Hospital and Clinics Past Accepting new patients

Locations

4130 La Jolla Village Dr
Ste 300
La Jolla, CA 92037
Phone (858) 455-6800

8910 University Center Ln
Ste 800
San Diego, CA 92122
Phone (858) 455-6800

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1272499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272499200000",
    "number": "1497072409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8910 UNIVERSITY CENTER LN",
            "address_2": "SUITE 800",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921221029",
            "telephone_number": "858-455-6800",
            "fax_number": "858-455-0244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8910 UNIVERSITY CENTER LN",
            "address_2": "SUITE 800",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921221029",
            "telephone_number": "858-455-6800",
            "fax_number": "858-455-0244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "ALISON",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-29",
        "last_updated": "2010-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A101181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.