Individual provider Active NPI

Ora Gordon, M.D.

  • Clinical Genetics (M.D.) Physician
  • Burbank, CA
National Provider Identifier
1508827718
Registry record updated Apr 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Genetics (M.D.) PhysicianTaxonomy code 207SG0201X
License
A63343 Issued in CA
Practice address
181 S Buena Vista St
Burbank, CA 91505-4504
Phone
(818) 748-4748
Fax
(818) 748-4711
NPI assigned
Mar 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A63343 CA
Clinical Genetics (M.D.) Physician 207SG0201X A63343 CA Primary

Addresses

Primary practice location

181 S Buena Vista St
Burbank, CA 91505-4504

Mailing address

7345 Medical Center Dr
6TH Floor
West Hills, CA 91307-1910
Phone (818) 347-2921

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ogordon435736@oc.providencedirect.org

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
I20050506000222 CA Practitioner - Medical Genetics and GenomicsPractitioner - Internal Medicine 6002856275 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Medical Genetics and GenomicsAlso: Internal Medicine
Education
University of California, Irvine, California College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2020 Santa Monica Blvd
FL 3
Santa Monica, CA 90404-1878

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
63343CAMDPharmacist
A63343CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Medical Institute Internal Medicine CurrentSince Feb 1, 2015 Accepting new patients
Providence Medical Institute Internal Medicine Current Accepting new patients
Providence Medical Institute Internal Medicine CurrentSince Feb 1, 2015 Accepting new patients
Providence Health System - Southern California Past Accepting new patients

Locations

181 S Buena Vista St
Fl 1
Burbank, CA 91505

181 S Buena Vista St
Burbank, CA 91505
Phone (818) 840-0921

181 S Buena Vista St
Fl 3
Burbank, CA 91505
Phone (818) 748-4930

21501 Avalon Blvd
Ste 100
Carson, CA 90745
Phone (310) 835-6627

21311 Madrona Ave
Ste 101
Torrance, CA 90503
Phone (310) 792-4012

20929 Hawthorne Blvd
Torrance, CA 90503
Phone (310) 303-7040

7345 Medical Center Dr
Ste 600
West Hills, CA 91307
Phone (818) 347-2921

7345 Medical Center Dr
Fl 6TH
West Hills, CA 91307

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

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 2

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": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618358400000",
    "number": "1508827718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7345 MEDICAL CENTER DR",
            "address_2": "6TH FLOOR",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913071910",
            "telephone_number": "818-347-2921",
            "fax_number": "818-346-4436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 S BUENA VISTA ST",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054504",
            "telephone_number": "818-748-4748",
            "fax_number": "818-748-4711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "ORA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-29",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A63343",
            "primary": false
        },
        {
            "code": "207SG0201X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Clinical Genetics (M.D.)",
            "state": "CA",
            "license": "A63343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ogordon435736@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "181 S Buena Vista St",
            "city": "Burbank",
            "state": "CA",
            "country_code": "US",
            "postal_code": "915054504",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

Verify at the official NPI Registry.