Flash Gordon, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

G37304 Issued in CA

Practice address

1000 S Eliseo Dr
Ste 204
Greenbrae, CA 94904-2133

Phone

(415) 461-2262

Fax

(415) 461-9376

NPI assigned

Apr 5, 2006

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: flash.gordon.2@18741.direct.athenahealth.com

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371513600000",
    "number": "1982666764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 S ELISEO DR",
            "address_2": "STE 204",
            "city": "GREENBRAE",
            "state": "CA",
            "postal_code": "949042133",
            "telephone_number": "415-461-2262",
            "fax_number": "415-461-9376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 S ELISEO DR",
            "address_2": "STE 204",
            "city": "GREENBRAE",
            "state": "CA",
            "postal_code": "949042133",
            "telephone_number": "415-461-2262",
            "fax_number": "415-461-9376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "FLASH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-05",
        "last_updated": "2013-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "G37304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Glassman, DDS
• Megan Gleason, PA-C
• Celia F Golden, M.D.
• Lauren Christine Gonzalves, M.S.W., A.S.W.
• Chad James Goodman, M.D.
• Jeremy Jayme Graham, RN, MSN, NP-C
• Tofani Grava, LMFT
• Andrea Gray, M.D.
• Greenbrae Care Center, LLC
• Greenbrae Dermatology, a Medical Corporation

• General Practice Physician in Greenbrae, CA
• Providers in Greenbrae, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2013; 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.