Gretchen Alice Gordon, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

391368 Issued in CA

Practice address

9400 Ruffin CT BLDG B
San Diego, CA 92123-5300

Phone

(858) 514-4655

Fax

(858) 514-4656

NPI assigned

Nov 21, 2011

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1321833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321833600000",
    "number": "1558638346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4535 GRANGER ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921074009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9400 RUFFIN CT BLDG B",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921235300",
            "telephone_number": "858-514-4655",
            "fax_number": "858-514-4656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "GRETCHEN",
        "middle_name": "ALICE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-21",
        "last_updated": "2011-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "391368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caitlin Gordon, NP
• Cristina Lavenant Gordon, MD
• Emile Brink Gordon, MD
• Erin Duncan Gordon, M.D.
• Grant D Gordon
• Jake Hodges Gordon, MD
• Jeoffry Bruce Gordon, MD
• Jerome Louis Gordon III
• John B Gordon, M.D.
• John Ray Gordon, D.D.S.

• Registered Nurse in San Diego, CA
• Providers in San Diego, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.