Michael Gordon, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

G35946 Issued in CA

Practice address

8910 University Center LN
Suite 800
San Diego, CA 92122-1031

Phone

(858) 455-6800

Fax

(858) 455-0244

NPI assigned

Oct 10, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Ophthalmology

Education

State University of New York at Buffalo School of Medicine, 1972

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gordon Schanzlin New Vision Institute, Inc. a Professional Medical CorGroup PAC ID 1557655230, 9 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

89.49 of 100Reported as group

Quality

94.56

Improvement activities

40

Cost

72.21

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Gordon Schanzlin New Vision Institute, Inc. a Professional Medical Cor

  • Optometrist
  • San Diego, CA
  • NPI 1134573678

  Ophthalmology

  Medicare reassignment Care Compare group NPD
• Vision Surgery & Laser Center a Surgical Medical Group Inc

  • Ophthalmology Physician
  • San Diego, CA
  • NPI 1811085491
  NPD Authorized official
• Sharp Memorial Hospital

  • Rehabilitation Hospital Unit
  • San Diego, CA
  • NPI 1114901352
  NPD (past)

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358985600000",
    "number": "1851489355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8910 UNIVERSITY CENTER LN",
            "address_2": "SUITE 800",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921221031",
            "telephone_number": "858-455-6800",
            "fax_number": "858-455-0244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8910 UNIVERSITY CENTER LN",
            "address_2": "SUITE 800",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921221031",
            "telephone_number": "858-455-6800",
            "fax_number": "858-455-0244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2013-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G35946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Loretta E. Gordon, MD
• Makena Nicole Gordon
• Maura Gordon, MSW
• Megan Gordon
• Meryl Gordon
• Monisha Carol Gordon, PH.D.
• Nancy Margaret Gordon, LCSW
• Richard L Gordon, PHARM. D.
• Robert Gordon, BCBA
• Ryan James Gordon, SFIDC

• Ophthalmology Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2013; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.