Dawn Erica Gordon, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

597385 Issued in CA

Practice address

14677 Merrill Ave
Fontana, CA 92335

Phone

(951) 961-6575

NPI assigned

Dec 5, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1512432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556236800000",
    "number": "1689189383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5057 TROJAN COURT",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925076056",
            "telephone_number": "951-358-6437",
            "fax_number": "951-358-4719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14677 MERRILL AVE",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "92335",
            "telephone_number": "951-961-6575"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5057 Trojan Court",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925076056",
            "country_code": "US",
            "telephone_number": "951-358-6437",
            "fax_number": "951-358-4719",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GORDON",
        "first_name": "DAWN",
        "middle_name": "ERICA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-05",
        "last_updated": "2019-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "CA",
            "license": "597385",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "597385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Alejandra Gonzalez
• Patricia Gonzalez
• Teresita Gonzalez
• Good Family Physical Therapy Inc
• Gerald R. Goodlow, MD
• Tekiaya Gordon
• Karita E. Goulbourne, MD
• Marylin Ruth Cruz Gould, NP
• Lisa Marie Gourley, R.D.
• Grace Hope Treatment & Recovery Centers, Inc.

• Registered Nurse in Fontana, CA
• Providers in Fontana, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2019; 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.