Individual provider Active NPI

Gordon R Hands, CRNA

  • Registered Nurse
  • Newbury Park, CA
National Provider Identifier
1720150733
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN358994 Issued in CA
Practice address
858 Deer Willow CT
Newbury Park, CA 91320
Phone
(805) 376-2627
Fax
(805) 376-2527
NPI assigned
Nov 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN358994 CA Primary
Anesthesiology Physician 207L00000X NA1241 CA

Addresses

Primary practice location

858 Deer Willow CT
Newbury Park, CA 91320

Mailing address

858 Deer Willow CT
Newbury Park, CA 91320
Phone (805) 376-2627

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN358994CAMDRegistered Nurse
NA1241CAMDAnesthesiology Physician

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1720150733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "858 DEER WILLOW CT",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "91320",
            "telephone_number": "805-376-2627",
            "fax_number": "805-376-2527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "858 DEER WILLOW CT",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "91320",
            "telephone_number": "805-376-2627",
            "fax_number": "805-376-2527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANDS",
        "first_name": "GORDON",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "RN358994",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "NA1241",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newbury Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.