Mark R Gordon, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

G-168143 Issued in CA

Practice address

2870 Whiptail Loop Ste 201
Carlsbad, CA 92010-6766

Phone

(667) 243-5377

NPI assigned

May 4, 2006

Last updated

Jun 27, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Other identifiers 12

Medicare fee-for-service enrollment

Enrolled in CA, MT2 enrollments

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 2

Specialty

Cardiovascular Disease (Cardiology)

Education

University of Minnesota Medical School, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Sonora Community HospitalGroup PAC ID 4284538505, shared by 10 NPIs, 134 clinicians

SCL Health Medical Group-Butte LLCGroup PAC ID 2466633102, 109 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventist Health Sonora Hospital, Sonora, CA, CCN 050335
• St James Hospital Hospital, Butte, MT, CCN 270017
• Cody Regional Health Hospital, Cody, WY, CCN 531312
• Doctors Medical Center Hospital, Modesto, CA, CCN 050464

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mark.gordon@avera.sdhealthlink.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• SCL Health Medical Group-Butte LLC

  • Family Medicine Physician
  • Butte, MT
  • NPI 1477869600
  Medicare reassignment Care Compare group NPD
• Sonora Community Hospital

  dba Greenley Primary Care

  • Family Medicine Physician
  • Sonora, CA
  • NPI 1033100854
  Medicare reassignment NPD
• Sonora Community Hospital

  dba Adventist Health Sonora

  • Radiation Oncology Clinic/Center
  • Sonora, CA
  • NPI 1891732418
  Medicare reassignment NPD
• Sonora Community Hospital

  dba Forest Road Health & Wellness Center

  • Rural Health Clinic/Center
  • Sonora, CA
  • NPI 1003014952

  Family Medicine

  NPD
• Sonora Community Hospital

  • Community/Retail Pharmacy
  • Sonora, CA
  • NPI 1740582568
  NPD
• Sonora Community Hospital

  dba Adventist Health Sonora

  • General Acute Care Hospital
  • Sonora, CA
  • NPI 1780673376
  NPD
• SCL Health Medical Group-Butte LLC

  dba Boulder Clinic - Family Medicine

  • Rural Health Clinic/Center
  • Boulder, MT
  • NPI 1861031122

  Family Medicine

  NPD
• Rapid City Indian Health Service Hospital

  • General Acute Care Hospital
  • Rapid City, SD
  • NPI 1316900327
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Doctors Medical Center of Modesto, Inc.

  dba Doctors Medical Center of Modesto

  • General Acute Care Hospital
  • Modesto, CA
  • NPI 1184654923
  Care Compare affiliation
• Sonora Community Hospital

  dba Sierra Cardiology Department

  • Cardiovascular Disease Physician
  • Sonora, CA
  • NPI 1003807066

  Hospital

  Care Compare affiliation
• Sonora Community Hospital

  dba Greenley Primary Care

  • Family Medicine Physician
  • Sonora, CA
  • NPI 1033100854

  Hospital

  Care Compare affiliation
• Sonora Community Hospital

  dba Foothill Primary Care

  • General Practice Physician
  • Sonora, CA
  • NPI 1063403129

  Hospital

  Care Compare affiliation
• Sonora Community Hospital

  dba Groveland Family Medical Center

  • Family Medicine Physician
  • Groveland, CA
  • NPI 1356332274

  Hospital

  Care Compare affiliation
• Sonora Community Hospital

  dba Arnold Family Medical Center

  • Family Medicine Physician
  • Arnold, CA
  • NPI 1467443382

  Hospital

  Care Compare affiliation
• Sonora Community Hospital

  dba Sierra Vascular Clinic

  • Vascular Surgery Physician
  • Sonora, CA
  • NPI 1598962045

  Hospital

  Care Compare affiliation
• Sonora Community Hospital

  dba Cedarwood Internal Medicine

  • Internal Medicine Physician
  • Sonora, CA
  • NPI 1659362614

  Hospital

  Care Compare affiliation
• Sonora Community Hospital

  dba Twain Harte Family Medical Center

  • Family Medicine Physician
  • Sonora, CA
  • NPI 1740271345

  Hospital

  Care Compare affiliation
• Sonora Community Hospital

  dba Adventist Health Sonora

  • General Acute Care Hospital
  • Sonora, CA
  • NPI 1780673376
  Care Compare affiliation
• Sonora Community Hospital

  dba Angels Camp Family Medical Center

  • Family Medicine Physician
  • Angels Camp, CA
  • NPI 1821089749

  Hospital

  Care Compare affiliation
• Sonora Community Hospital

  dba Adventist Health Sonora

  • Radiation Oncology Clinic/Center
  • Sonora, CA
  • NPI 1891732418

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750982400000",
    "number": "1982652939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2870 WHIPTAIL LOOP STE 201",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920106766",
            "telephone_number": "760-331-9771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2870 WHIPTAIL LOOP STE 201",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920106766",
            "telephone_number": "667-243-5377"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Greenley Rd",
            "address_purpose": "LOCATION",
            "city": "Sonora",
            "state": "CA",
            "postal_code": "953705200",
            "country_code": "US",
            "telephone_number": "209-536-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GORDON",
        "first_name": "MARK",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2025-06-27",
        "certification_date": "2025-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OR",
            "license": "MD220295",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NM",
            "license": "MD2020-0673",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "WY",
            "license": "5823A",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "SD",
            "license": "3929",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "G-168143",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IA BCBS #",
            "identifier": "33333",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MN BCBS - PLAN 538R2NO",
            "identifier": "346L9GO",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SD BCBS",
            "identifier": "0008426",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE",
            "identifier": "165025",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0549402",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "331503700",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6002892",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MN BCBS - PLAN 91057NO",
            "identifier": "101T6GO",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA SELECTCARE",
            "identifier": "25-00667",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAKOTACARE",
            "identifier": "3929",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "931451030123",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPARTNERS",
            "identifier": "10492",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Philip Richard Goodman, M.D.
• Lorenzo Razal Gopez
• Miranda Elayne Gorden
• Gordon W Caras PH D a Professional Psychological Corporation
• Domonique Gordon
• Bianca Gorges
• Antonia Gorham
• Jervona Anton Gorham
• Ria Gost
• Jacob Gracias

• Cardiovascular Disease Physician in Carlsbad, CA
• Providers in Carlsbad, CA by specialty
• Cardiovascular Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2025; 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.