CAMILLE GORDON (NPI# 1083780712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083780712 |
| Entity Type | Individual |
| Full Name | CAMILLE GORDON |
| Other Name | CAMILLE GORDON |
| Practice Address |
255 N White Rd Ste 200 San Jose CA 95127-1966 |
| Mailing Address |
701 E El Camino Real Medical Staff Dept. Mountain View CA 94040-2833 |
| Practice Telephone | 4085037600 |
| Mailing Telephone | 4087396000 |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2019-03-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 54318 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363L00000X | Nurse Practitioner | 5214 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2734 El Camino Real, Santa Clara, CA 950513007 | 4087396000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083147466 | Camille Gordon | Internal Medicine | 2401 W University Ave, Muncie, IN 47303-3428 | 2017-04-04 |
| Street Address |
255 N WHITE RD STE 200 |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95127-1966 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598760373 | Michael Alan Heisman | Podiatrist | 255 N White Rd Ste 200, San Jose, CA 95127-1966 | 2005-06-17 |
| 1386278547 | Mary Isabelle Colene Daluz Huynh | Physician Assistant | 255 N White Rd Ste 200, San Jose, CA 95127-1966 | 2020-02-26 |
| 1184113854 | Catherine Van Pham | Nurse Practitioner | 255 N White Rd Ste 200, San Jose, CA 95127-1966 | 2018-05-08 |
| 1457870586 | Jesse Korth | Registered Nurse | 255 N White Rd Ste 200, San Jose, CA 95127-1966 | 2017-09-09 |
| 1518481845 | Pooja Patel | Nurse Practitioner | 255 N White Rd Ste 200, San Jose, CA 95127-1966 | 2017-07-28 |
| 1134655897 | Molly Lee | Nurse Practitioner | 255 N White Rd Ste 200, San Jose, CA 95127-1966 | 2017-05-02 |
| 1821544974 | Ron Pascual | Nurse Practitioner | 255 N White Rd Ste 200, San Jose, CA 95127-1966 | 2016-08-29 |
| 1518331594 | Caremore Health Plan | Nurse Practitioner | 255 N White Rd Ste 200, San Jose, CA 95127-1966 | 2015-11-13 |
| 1700261609 | Ritu Dabas | Internal Medicine | 255 N White Rd Ste 200, San Jose, CA 95127-1966 | 2015-07-21 |
| 1174934566 | Chen-yuan Emily Lu | Family Medicine | 255 N White Rd Ste 200, San Jose, CA 95127 | 2014-05-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225635162 | Veronica Isabel Foggie | Massage Therapist | 3570 Ct, San Jose, CA 95127 | 2020-10-05 |
| 1235605528 | Melissa Ann Morgan | Case Manager/Care Coordinator | 428 N. White Rd., San Jose, CA 95127 | 2018-10-15 |
| 1386126621 | Alum Rock Counseling Center | Community/Behavioral Health | 14281 Story Road, San Jose, CA 95127 | 2018-09-04 |
| 1407359383 | Erin Rodriguez | Behavior Technician | 1593 Amesbury Way, San Jose, CA 95127 | 2018-03-16 |
| 1407209919 | Binita Dorce | Counselor | 14820 Mcvay Avenue, San Jose, CA 95127 | 2016-07-20 |
| 1851766448 | Lynn H Trieu | Pharmacist | 3200 Kawalker Ln, San Jose, CA 95127 | 2015-12-08 |
| 1184099723 | Royal Plus Home Care, Inc | In Home Supportive Care | 302-f Toyon Ave. #182, San Jose, CA 95127 | 2015-12-08 |
| 1710363916 | Chan Pham | Acupuncturist | 10048 Bethel Ave, San Jose, CA 95127 | 2015-08-11 |
| 1639574320 | Jesus I Yanez | Dentist | 100 South White Road Suite 210, San Jose, CA 95127 | 2014-10-24 |
| 1285051110 | Vinh Quang Tran | Pharmacist | 3478 Neves Way, San Jose, CA 95127 | 2014-03-28 |
| Find all providers in zip 95127 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922607423 | Emily Halla | Physician Assistant | 7473 Gresham Ct, San Jose, CA 95139-1424 | 2020-10-26 |
| 1881210029 | Jeremy Nathan Birch | Physician Assistant | 1287 San Moritz Dr, San Jose, CA 95132-2754 | 2020-06-23 |
| 1609491158 | Kaitlin Aquino | Physician Assistant | 1382 Bing Dr, San Jose, CA 95129-4703 | 2020-06-10 |
| 1275152282 | Heema K Bhagat | Physician Assistant | 6967 Sessions Dr, San Jose, CA 95119-1335 | 2020-04-09 |
| 1013557925 | Kassaundra Cervantes | Physician Assistant | 2114 Mckee Rd, San Jose, CA 95116-1427 | 2020-01-08 |
| 1508416207 | Shelley Brunkan | Physician Assistant | 227 Giddings Ct, San Jose, CA 95139-1421 | 2019-09-14 |
| 1053960724 | Caroline Luczak | Physician Assistant | 88 E San Fernando St, San Jose, CA 95113-2535 | 2019-09-05 |
| 1336704402 | Irene Rummel | Physician Assistant | 1227 Gehrig Ave, San Jose, CA 95132-2714 | 2019-05-04 |
| 1801350749 | Brenda H.t. Nguyen | Physician Assistant | 1102 Brooks Range Lndg, San Jose, CA 95131-3803 | 2019-01-24 |
| 1477021848 | Christina Ly | Physician Assistant | 1569 Lexann Ave Ste 206, San Jose, CA 95121-1795 | 2018-11-05 |
| Find all providers in SAN JOSE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.