Gordon S Lum, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G55623 Issued in CA

Practice address

4605 Nantucket Dr
Redding, CA 96001-5844

Phone

(530) 945-0906

Fax

(530) 776-5636

NPI assigned

Jul 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

Other identifiers 1

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

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

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.

• Cep America - California

  • Emergency Medicine Physician
  • San Francisco, CA
  • NPI 1023063542
  Medicare reassignment NPD
• Cep America - California

  • Emergency Medicine Physician
  • Clovis, CA
  • NPI 1184997645
  NPD
• Cep America-California

  • Emergency Medicine Physician
  • Murrieta, CA
  • NPI 1588552848
  NPD
• American Specialty Physicians Group Inc

  • Emergency Medicine Physician
  • Modesto, CA
  • NPI 1568992923
  NPD (past)
• Butte Inpatient Services

  • Hospitalist Physician
  • Gridley, CA
  • NPI 1659633089
  NPD (past)
• Central California Radiology Associates Inc

  • Diagnostic Radiology Physician
  • Visalia, CA
  • NPI 1619343050
  NPD (past)
• Mark Twain Medical Center

  • Critical Access Hospital
  • San Andreas, CA
  • NPI 1508968819
  NPD (past)
• Regional Radiological Associates, Inc. a Medical Group

  • Diagnostic Radiology Physician
  • Redding, CA
  • NPI 1649202888
  NPD (past)
• Sierra Rural Physicians, Inc.

  • Emergency Medicine Physician
  • Mariposa, CA
  • NPI 1699890905
  NPD (past)

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667260800000",
    "number": "1902830359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4605 NANTUCKET DR",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960015844",
            "telephone_number": "530-945-0906",
            "fax_number": "530-776-5636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4605 NANTUCKET DR",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960015844",
            "telephone_number": "530-945-0906",
            "fax_number": "530-776-5636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUM",
        "first_name": "GORDON",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G55623",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G556230",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rudy Ignacio Lucero
• Catherine Ann Ludlow, CFNP
• Christopher Clay Ludlow, PA-C
• Wendy Lugg
• Kelli Lynn Lull
• Luz Elena Luna, RN, PHN
• John Luoma
• Michael Luong, PHARM. D.
• Debra Lynn Lupeika, MD
• Rafael Lupercio, M.D.

• Family Medicine Physician in Redding, CA
• Providers in Redding, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.