Renee Jenine Gordon, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC29383 Issued in CA

Practice address

2659 Townsgate Rd
Suite 126
Westlake Village, CA 91361-2710

Phone

(805) 778-1054

Fax

(805) 435-1201

NPI assigned

Jul 14, 2006

Sex

Female

Sole proprietor

Yes

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

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2004

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226275200000",
    "number": "1962428672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2659 TOWNSGATE RD",
            "address_2": "SUITE 126",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913612710",
            "telephone_number": "805-778-1054",
            "fax_number": "805-435-1201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2659 TOWNSGATE RD",
            "address_2": "SUITE 126",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913612710",
            "telephone_number": "805-778-1054",
            "fax_number": "805-435-1201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "RENEE",
        "middle_name": "JENINE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-14",
        "last_updated": "2008-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC29383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Fay Gondek, PHD
• Ashley Gonzalez Vasquez
• Lindsay Gooze
• Joanne Gordon, LMFT
• Kenneth Steven Gordon, PHD
• Jared Michael Gorter
• Sara Goss
• Brian Gottlieb, D.D.S.
• Brittney Grant, OTR/L, OTD
• Lauren Schnell Graovac, LMFT

• Chiropractor in Westlake Village, CA
• Providers in Westlake Village, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.