Individual provider Active NPI

Joseph Abraham Gordon, M.D.

  • Pulmonary Disease Physician
  • Pomona, CA
National Provider Identifier
1811243652
Registry record updated Jul 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
A126822 Issued in CA
Practice address
1940 N Orange Grove Ave
Pomona, CA 91767-3002
Phone
(909) 865-6900
NPI assigned
Jul 31, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A126822 CA
Critical Care Medicine (Internal Medicine) Physician 207RC0200X A126822 CA
Pulmonary Disease Physician 207RP1001X A126822 CA Primary

Addresses

Primary practice location

1940 N Orange Grove Ave
Pomona, CA 91767-3002

Mailing address

1000 W Carson St # 400
Torrance, CA 90502-2004
Phone (310) 222-2401

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160112003061 CA Practitioner - Internal Medicine 9638471311 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
George Washington University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Chaparral Medical Group IncGroup PAC ID 6800709403, shared by 2 NPIs, 66 clinicians

Practice addresses (Care Compare)

8330 Red Oak St
Suite 201
Rancho Cucamonga, CA 91730-0603
Phone (909) 987-2528

Hospital & facility affiliations

  • Pomona Valley Hospital Medical Center Hospital, Pomona, CA, CCN 050231
  • San Antonio Regional Hospital Hospital, Upland, CA, CCN 050099

Merit-based Incentive Payment System (MIPS)

Final score
78.08 of 100Reported as group
Quality
40.87
Promoting interoperability
75
Improvement activities
40
Cost
74.84

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A126822CAMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chaparral Medical Group, Inc. CurrentSince Aug 24, 2019 Accepting new patients
Nasir Tahghighi Dental Corp CurrentSince Jun 1, 2019 Accepting new patients
Chaparral Medical Group, Inc. Internal Medicine Current Accepting new patients
County of Los Angeles CurrentSince Dec 5, 2015 Accepting new patients
Chaparral Medical Group, Inc. Current Accepting new patients
County of Los Angeles CurrentSince Dec 5, 2015 Accepting new patients
Chaparral Medical Group Inc Internal Medicine CurrentSince Jul 1, 2019 Accepting new patients
San Antonio Regional Hospital Past Accepting new patients
Pomona Valley Hospital Medical Center Past Accepting new patients
Casa Colina Hospital and Centers for Healthcare Past Accepting new patients
Yong Luke Lee Medical Corporation Past Accepting new patients

Locations

1000 S Fremont Ave
Unit 9
Alhambra, CA 91803

1940 N Orange Grove Ave
Pomona, CA 91767
Phone (909) 620-8443

1866 N Orange Grove Ave
Ste 104
Pomona, CA 91767
Phone (909) 591-6414

1866 N Orange Grove Ave
Ste 202
Pomona, CA 91767
Phone (909) 623-8796

1940 N Orange Grove Ave
Ste B
Pomona, CA 91767
Phone (909) 620-1974

1940 N Orange Grove Ave
Ste A
Pomona, CA 91767
Phone (909) 629-0444

9190 Haven Ave
Ste 101
Rancho Cucamonga, CA 91730
Phone (909) 581-6732

8330 Red Oak St
Ste 201
Rch Cucamonga, CA 91730
Phone (909) 987-1730

1000 W Carson St
Torrance, CA 90502
Phone (310) 222-3501

1000 W Carson St
#400
Torrance, CA 90502
Phone (310) 222-2401

585 N Mountain Ave
Ste A
Upland, CA 91786
Phone (909) 608-7546

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 11

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 2

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": "1343692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562025600000",
    "number": "1811243652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 W CARSON ST # 400",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905022004",
            "telephone_number": "310-222-2401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 N ORANGE GROVE AVE",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917673002",
            "telephone_number": "909-865-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "JOSEPH",
        "middle_name": "ABRAHAM",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-31",
        "last_updated": "2019-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A126822",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CA",
            "license": "A126822",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "A126822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, CA

Sources for this page

Verify at the official NPI Registry.