Individual provider Active NPI

Courtney Gordon, NP

  • Gerontology Nurse Practitioner
  • San Francisco, CA
National Provider Identifier
1699916643
Registry record updated Dec 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
20427 Issued in CA
Practice address
3333 California St
Suite 380
San Francisco, CA 94118-1981
Phone
(415) 502-8885
Fax
(415) 514-0702
NPI assigned
Mar 19, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X COA.10651-NP OH
Gerontology Nurse Practitioner 363LG0600X 20427 CA Primary

Addresses

Primary practice location

3333 California St
Suite 380
San Francisco, CA 94118-1981

Mailing address

3333 California St
Suite 380
San Francisco, CA 94118-1981
Phone (415) 502-8885

Other identifiers 1

IdentifierTypeStateIssuer
2941231MedicaidOH

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120221000325 CA Practitioner - Nurse Practitioner 8224187547 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Regents of the University of CaliforniaGroup PAC ID 4284547274, 706 clinicians

Practice addresses (Care Compare)

400 Parnassus Ave
San Francisco, CA 94143-2202
Phone (415) 476-4029

Hospital & facility affiliations

  • Health Link Home Health Agency Home health agency, San Francisco, CA, CCN 059016
  • Centerwell Asian American Home Health Home health agency, Alameda, CA, CCN 557754
  • Healthflex Home Health Services Home health agency, Oakland, CA, CCN 059551
  • Amedisys Home Health Care Home health agency, Burlingame, CA, CCN 557116
  • By the Bay Health Hospice, San Francisco, CA, CCN 051523
  • UCSF Medical Center Hospital, San Francisco, CA, CCN 050454

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
95
Improvement activities
40
Cost
80.65

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
COA.10651-NPOHMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of California San Francisco Current Accepting new patients
Regents of the University of California CurrentSince Mar 19, 2017 Accepting new patients
UCSF Medical Group Business Services CurrentSince Nov 15, 2011 Accepting new patients
UCSF Medical Group Business Services CurrentSince Nov 15, 2011 Accepting new patients
University of California San Francisco CurrentSince Nov 15, 2011 Accepting new patients
University of California San Francisco CurrentSince Nov 15, 2011 Accepting new patients
University of California San Francisco Past Accepting new patients
Regents of the University of California Past Accepting new patients
University of California San Francisco Medical Center Past Accepting new patients

Locations

8000 Marina Blvd
Ste 600
Brisbane, CA 94005
Phone (415) 502-2581

400 Parnassus Ave
#300
San Francisco, CA 94143
Phone (415) 476-2163

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

400 Parnassus Ave
San Francisco, CA 94143
Phone (415) 353-2000

3333 California St
Ste 380
San Francisco, CA 94118
Phone (415) 502-8885

3333 California St
Ste 110
San Francisco, CA 94118

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

Organizations & group practices 9

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 6

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": "1237420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482105600000",
    "number": "1699916643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 CALIFORNIA ST",
            "address_2": "SUITE 380",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941181981",
            "telephone_number": "415-502-8885",
            "fax_number": "415-514-0702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 CALIFORNIA ST",
            "address_2": "SUITE 380",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941181981",
            "telephone_number": "415-502-8885",
            "fax_number": "415-514-0702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "COURTNEY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-19",
        "last_updated": "2016-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "OH",
            "license": "COA.10651-NP",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CA",
            "license": "20427",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2941231",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.