Kali L Gordon, M.D., M.S.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

72733 Issued in GA

Practice address

Pit River Health Service
150 Bureau of Indian Affairs #76a
Alturas, CA 96101

Phone

(530) 233-3223

Fax

(530) 233-3296

NPI assigned

Feb 26, 2013

Last updated

Nov 9, 2023By the provider in NPPES

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 GA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Master of Science

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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• United Physician Group LLC

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• Wellstreet of Georgia PC

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  • Urgent Care Clinic/Center
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  Medicare reassignment NPD
• St. Joseph Clinic, P.C.

  • Psychiatry Physician
  • Dalton, GA
  • NPI 1255480836

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1361836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699488000000",
    "number": "1508106600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 E NORTH ST UNIT A",
            "city": "ALTURAS",
            "state": "CA",
            "postal_code": "961014072",
            "telephone_number": "215-260-8867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PIT RIVER HEALTH SERVICE",
            "address_2": "150 BUREAU OF INDIAN AFFAIRS #76A",
            "city": "ALTURAS",
            "state": "CA",
            "postal_code": "96101",
            "telephone_number": "530-233-3223",
            "fax_number": "530-233-3296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "KALI",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D., M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-26",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "72733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Marie Floyd, RN
• Tiffany June Ford, LVN
• Jack R Futterman, PHD
• Melissa Sue Gallardo, AA
• Barbara E Gilbertson
• Ronald Gray, LPTA
• Julia Greene
• Nathan Michael Gremillion, PHARMD
• Landin Paul Hagge, DO
• Philip Harvey, PHARMD, MBA

• Family Medicine Physician in Alturas, CA
• Providers in Alturas, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.