Richard K Gordon MD Inc

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

G56286 Issued in CA

Legal business name

RICHARD K GORDON MD INC

Practice address

18250 Roscoe Blvd
Suite 250
Northridge, CA 91325-4226

Phone

(818) 770-7090

NPI assigned

Sep 15, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Richard K Gordon, MDNPI 1144242645

Title

Owner

Phone

(818) 772-7090

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard Kenneth Gordon, M.D.

  • Specialist
  • Northridge, CA
  • NPI 1144242645
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1284508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294876800000",
    "number": "1811205545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8700 RESEDA BLVD",
            "address_2": "SUITE 204",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913244041",
            "telephone_number": "818-772-7090",
            "fax_number": "818-772-4415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18250 ROSCOE BLVD",
            "address_2": "SUITE 250",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913254226",
            "telephone_number": "818-770-7090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD K GORDON MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-15",
        "last_updated": "2011-01-13",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-772-7090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "G56286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Milena Ribeiro
• Andres Ricardo
• Sarah Rice
• Richard H. Yook, M.D, Inc.
• Richard J. Kang, MD, Inc.
• Richard Rothstein D.D.S.,Corp
• Brenda Richards, RN
• Lauren Richerson
• Claudia Rico, MD
• Ride With US Transportation LLC

• Gastroenterology Physician in Northridge, CA
• Providers in Northridge, CA by specialty
• Gastroenterology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.