Jay N. Gordon, M.D., F.A.A.P.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

G37508 Issued in CA

Practice address

901 Montana Ave
Ste. C
Santa Monica, CA 90403-1544

Phone

(310) 393-9784

Fax

(310) 393-0187

NPI assigned

Feb 28, 2007

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: jgordon267903@direct.uclahealth.org

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952439341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 MONTANA AVE",
            "address_2": "STE. C",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904031544",
            "telephone_number": "310-393-9784",
            "fax_number": "310-393-0187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 MONTANA AVE",
            "address_2": "STE. C",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904031544",
            "telephone_number": "310-393-9784",
            "fax_number": "310-393-0187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "JAY",
        "middle_name": "N.",
        "name_prefix": "Dr.",
        "credential": "M.D., F.A.A.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "G37508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bruce R. Gordon, PH.D.
• Claire Gordon
• Earl Mark Gordon, M.D.
• Edward Francis Gordon, L.AC.
• Erlinda Maria Gordon, MD
• Martin A. Gordon, M.D.
• Rita Gordon, CNM
• Rebecca Gorin, LMFT
• Glenn Gorlitsky, M.D.
• Gorlitsky, Stein & Hernandez Medical Group, Co.

• Pediatrics Physician in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.