Gordian Medical IV, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

GORDIAN MEDICAL IV, INC.

Doing business as

American Medical Technologies
RestorixHealth

Practice address

3610 Central Ave, Floor 4 Suite 40
Riverside, CA 92506-5900

Phone

(951) 736-9000

Fax

(877) 380-8282

NPI assigned

Jan 21, 2016

Organization subpart

Yes

Parent organization

GORDIAN MEDICAL, INC.As reported in NPPES

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

Authorized official

Name

Jeffrey Bowman

Title

President

Phone

(714) 556-0200

Specialties & licenses 1

Addresses

Other identifiers 27

Other names 2

• American Medical Technologies Doing business as
• RestorixHealth Doing business as

Electronic endpoints 1

Part of

Gordian Medical Inc

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Gordian Medical, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Orange, CA
  • NPI 1013124213

  Member Of

  NPD member

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Gordian Medical, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Orange, CA
  • NPI 1013124213
  NPPES parent name

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

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    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704240000000",
    "number": "1992162911",
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            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 THE CITY DR S STE 225",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684976",
            "telephone_number": "714-556-0200",
            "fax_number": "877-380-8282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3610 CENTRAL AVE, FLOOR 4 SUITE 40",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925065900",
            "telephone_number": "951-736-9000",
            "fax_number": "877-380-8282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GORDIAN MEDICAL IV, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GORDIAN MEDICAL, INC.",
        "enumeration_date": "2016-01-21",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A",
        "authorized_official_last_name": "BOWMAN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-556-0200"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
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        {
            "code": "05",
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            "issuer": null,
            "identifier": "DM1587",
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        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "100 N 6th St Ste 900A",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554031516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "American Medical Technologies",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "American Medical Technologies",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "RestorixHealth",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Rebecaa Goodman, MFT INTERN
• Kathleen Suzanne Goodrich, LVN
• Morgan Pilar Goodson
• Sie Kegan Goodwin, NONE
• Ashley Goot
• Rachel Leanne Gordillo
• Gordon David Mason
• Gordon David Mason and Emily Sue Mason
• Bobbi-Ann M Gordon
• Deborah J Gordon, NP

• Durable Medical Equipment & Medical Supplies in Riverside, CA
• Providers in Riverside, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; 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.