Gordon Gunn M.D Inc a Medical Corporation

Primary specialty

SpecialistTaxonomy code 174400000X

License

C27175 Issued in CA

Legal business name

GORDON GUNN M.D INC A MEDICAL CORPORATION

Practice address

100 E Valencia Mesa Dr
# 215
Fullerton, CA 92835-3813

Phone

(714) 912-2211

Fax

(714) 213-8750

NPI assigned

May 1, 2013

Last updated

May 1, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Judith Werts

Title

Administrator

Phone

(714) 912-2211

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gordon Colin Gunn, MD

  • Gynecology Physician
  • Fullerton, CA
  • NPI 1194829184
  Medicare reassignment NPD

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

{
    "created_epoch": "1367366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367366400000",
    "number": "1518302777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E. VALENCIA MESA DR",
            "address_2": "#215",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928353800",
            "telephone_number": "714-912-2211",
            "fax_number": "714-213-8750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E VALENCIA MESA DR",
            "address_2": "# 215",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928353813",
            "telephone_number": "714-912-2211",
            "fax_number": "714-213-8750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GORDON GUNN M.D INC A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-01",
        "last_updated": "2013-05-01",
        "status": "A",
        "authorized_official_last_name": "WERTS",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "714-912-2211"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "C27175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gorden Pang Dental Corporation (Fullerton Family Dentistry)
• Justin Gordillo
• Ivan Gordo Melendrez
• Gordon C Gunn MD Inc (Gunn Towbin Center)
• Gordon E Haag, Jr, DDS, Inc
• Gordon Lane Healthcare LLC (Gordon Lane Care Center)
• Cheyenne Eliese Gordon
• Dennis Gordon
• Julie Christine Gordon, PA-C
• Amanda Elizabeth Gore, OTR/L

• Specialist in Fullerton, CA
• Providers in Fullerton, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.