Active NPI
Jean Gordon, M.D. PH.D., Inc.
- Specialist
- Mountain View, CA
National Provider Identifier
1871789420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- G60973
- Legal business name
- JEAN GORDON, M.D. PH.D., INC.
- Practice address
- 2660 Solace PL Ste C
Mountain View, CA 94040-4316 - Phone
- (650) 938-6559
- Fax
- (650) 938-6510
- NPI assigned
- Sep 18, 2007
- Last updated
- Sep 18, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jean Gordon, M.D., PH.D,
- Title
- M.D.
- Phone
- (650) 938-6559
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | G60973 | CA | Primary |
Addresses
Primary practice location
2660 Solace PL Ste C
Mountain View, CA 94040-4316
Mailing address
2660 Solace PL Ste C
Mountain View, CA 94040-4316
Phone (650) 938-6559
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G609730 | Other | CA | MEDICARE PROVIDER NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2660 Solace Pl
Ste C
Mountain View, CA 94040
Phone (650) 938-6559
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Specialist
- Mountain View, CA
- NPI 1306920822
-
- Neurological Surgery Physician
- Mountain View, CA
- NPI 1316954191
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190073600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1190073600000",
"number": "1871789420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2660 SOLACE PL STE C",
"city": "MOUNTAIN VIEW",
"state": "CA",
"postal_code": "940404316",
"telephone_number": "650-938-6559",
"fax_number": "650-938-6510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2660 SOLACE PL STE C",
"city": "MOUNTAIN VIEW",
"state": "CA",
"postal_code": "940404316",
"telephone_number": "650-938-6559",
"fax_number": "650-938-6510"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JEAN GORDON, M.D. PH.D., INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-18",
"last_updated": "2007-09-18",
"status": "A",
"authorized_official_last_name": "GORDON",
"authorized_official_first_name": "JEAN",
"authorized_official_title_or_position": "M.D.",
"authorized_official_telephone_number": "650-938-6559",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D., PH.D,"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "G60973",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PROVIDER NUMBER",
"identifier": "00G609730",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mountain View, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2007; 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.