Active NPI
L Stephen Gordon, M.D.
- Pediatric Cardiology Physician
- Arcadia, CA
National Provider Identifier
1750572020
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Cardiology Physician
- License
- G124580
- Practice address
- 301 W Huntington Dr
Suite 415
Arcadia, CA 91007-3462 - Phone
- (626) 445-5552
- Fax
- (626) 445-4411
- NPI assigned
- Aug 5, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Cardiology Physician | 2080P0202X | G124580 | CA | Primary |
Addresses
Primary practice location
301 W Huntington Dr
Suite 415
Arcadia, CA 91007-3462
Mailing address
301 W Huntington Dr
Suite 415
Arcadia, CA 91007-3462
Phone (626) 445-5552
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G124580 | Medicaid | CA |
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G124580 | CA | MD | Pediatric Cardiology Physician |
Practice roles (7 of 8)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ahmc Garfield Medical Center LP | Past | Accepting new patients | |
| Childrens Cardiac Medical Clinic | Pediatric Cardiology | Past | Accepting new patients |
| Emanate Health Foothill Presbyterian Hospital | Past | Accepting new patients | |
| Usc Arcadia Hospital | Past | Accepting new patients | |
| Childrens Hospital of Los Angeles | Past | Accepting new patients | |
| Emanate Health Medical Center | Past | Accepting new patients | |
| Cedars-Sinai Medical Center | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 7
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.
-
- General Acute Care Hospital
- Monterey Park, CA
- NPI 1730171265
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1639172372
-
- Pediatric Cardiology Physician
- Arcadia, CA
- NPI 1639152820
-
- Children's Hospital
- Los Angeles, CA
- NPI 1124073366
-
- General Acute Care Hospital
- Glendora, CA
- NPI 1992733513
-
- General Acute Care Hospital
- West Covina, CA
- NPI 1063441293
-
- Rehabilitation Hospital Unit
- Arcadia, CA
- NPI 1164410593
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1186358400000",
"number": "1750572020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 W HUNTINGTON DR",
"address_2": "SUITE 415",
"city": "ARCADIA",
"state": "CA",
"postal_code": "910073462",
"telephone_number": "626-445-5552",
"fax_number": "626-445-4411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 W HUNTINGTON DR",
"address_2": "SUITE 415",
"city": "ARCADIA",
"state": "CA",
"postal_code": "910073462",
"telephone_number": "626-445-5552",
"fax_number": "626-445-4411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORDON",
"first_name": "L STEPHEN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-08-05",
"last_updated": "2007-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0202X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Cardiology",
"state": "CA",
"license": "G124580",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G124580",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Arcadia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.