Active NPI
Debbie Gordon, ANP-C
- Adult Health Nurse Practitioner
- La Jolla, CA
National Provider Identifier
1730315532
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 13438
- Practice address
- 9300 Campus Point Dr
Suite Ecob 2-034
La Jolla, CA 92037-1300 - Phone
- (858) 657-7100
- Fax
- (858) 657-7107
- NPI assigned
- Jun 8, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 0024166102 | VA | |
| Nurse Practitioner | 363L00000X | 0017138075 | VA | |
| Adult Health Nurse Practitioner | 363LA2200X | 13438 | CA | Primary |
Addresses
Primary practice location
9300 Campus Point Dr
Suite Ecob 2-034
La Jolla, CA 92037-1300
Mailing address
PO Box 232410
Suite Ecob 2-034
San Diego, CA 92193-2410
Phone (619) 543-6164
Other names 1
- Debbie Dugan
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13438 | CA | MD | Mental Health Counselor |
| 0017138075 | VA | MD | Nurse Practitioner |
Practice roles
Locations
9300 Campus Point Dr
Ste Ecob
La Jolla, CA 92037
Phone (858) 657-7100
200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5754
Organizations & group practices 15
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473379200000",
"number": "1730315532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 232410",
"address_2": "SUITE ECOB 2-034",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921932410",
"telephone_number": "619-543-6164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9300 CAMPUS POINT DR",
"address_2": "SUITE ECOB 2-034",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "920371300",
"telephone_number": "858-657-7100",
"fax_number": "858-657-7107"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORDON",
"first_name": "DEBBIE",
"credential": "ANP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-08",
"last_updated": "2016-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "VA",
"license": "0024166102",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "VA",
"license": "0017138075",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "CA",
"license": "13438",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DEBBIE",
"last_name": "DUGAN",
"credential": "NP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in La Jolla, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.