Gordon Robert Osborn, D.D.S.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

29732 Issued in CA

Practice address

4260 Truxtun Ave
Suite 150
Bakersfield, CA 93309-0691

Phone

(661) 322-9885

Fax

(661) 322-7736

NPI assigned

May 4, 2006

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 6, 2017 through Jan 6, 2027

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1578511796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4260 TRUXTUN AVE",
            "address_2": "SUITE 150",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933090691",
            "telephone_number": "661-322-9885",
            "fax_number": "661-322-7736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4260 TRUXTUN AVE",
            "address_2": "SUITE 150",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933090691",
            "telephone_number": "661-322-9885",
            "fax_number": "661-322-7736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSBORN",
        "first_name": "GORDON",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "29732",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "29732",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Ortiz
• Nina Ortiz
• Vilma Ortiz
• Liza Diacuna Osano Liu, PT
• Cydney M. Osano, MD
• Lisa Osborn
• Celeste Osborne
• Jacob Christopher Osborne, FNP
• Jacqueline Osborne, AMFT
• Ucedrah L Osby

• Oral and Maxillofacial Surgery (Dentist) in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Oral and Maxillofacial Surgery (Dentist) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.