JEFFREY ANDREW GORDON (NPI# 1285120451) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285120451 |
| Entity Type | Individual |
| Full Name | JEFFREY ANDREW GORDON |
| Practice Address |
2865 Logan Ave San Diego CA 92113 |
| Mailing Address |
2865 Logan Ave San Diego CA 92113-2411 |
| Practice Telephone | 6192324357 |
| Mailing Telephone | 6192324357 |
| Enumeration Date | 2018-07-10 |
| Last Update Date | 2018-07-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417294026 | Jeffrey Paul Gordon | Pharmacist | 3740 S Ocean Blvd, Highland Beach, FL 33487-3400 | 2013-01-16 |
| 1932371259 | Jeffrey Glen Gordon | Dentist | 2501 W 69th St, Chicago, IL 60629 | 2008-03-26 |
| 1215008495 | Jeffrey Stephen Gordon | Physical Therapist | 1755 Westwood Way # 7, Fairbanks, AK 99709-4064 | 2006-11-10 |
| 1285713263 | Jeffrey H Gordon I | Dentist | 1764 Uinta Way Ste E1, Park City, UT 84098-7674 | 2006-11-02 |
| 1588169213 | Jeffrey Gordon | Student in an Organized Health Care Education/Training Program | 1 Baylor Plz, Houston, TX 77030-3411 | 2018-03-26 |
| 1770800310 | Jeffrey J Gordon | Acupuncturist | 1 West St, Pittsfield, MA 01201-6298 | 2010-04-21 |
| 1790914943 | Jeffrey P Gordon | Internal Medicine | 1250 S Cedar Crest Blvd Ste 300, Allentown, PA 18103 | 2009-07-09 |
| 1356579064 | Jeffrey Scott Gordon | Counselor | 935b Spring St, Placerville, CA 95667-4523 | 2009-07-01 |
| 1912042722 | Jeffrey M Gordon | Dentist | 130 Kinderkamack Rd, Suite 202, River Edge, NJ 07661-1939 | 2007-02-20 |
| 1093872020 | Jeffrey Scott Gordon | Chiropractor | 305 Sw 7th Ter, Gainesville, FL 32601-6458 | 2007-01-02 |
| Street Address |
2865 LOGAN AVE |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659445815 | Joanne Lorraine Miller | Counselor | 2865 Logan Ave, San Diego, CA 92113-2411 | 2006-11-20 |
| 1518575844 | Long Wang | Student in an Organized Health Care Education/Training Program | 2865 Logan Ave, San Diego, CA 92113-2411 | 2020-07-22 |
| 1609484559 | Caitlin Donnelly | Student in an Organized Health Care Education/Training Program | 2865 Logan Ave, San Diego, CA 92113-2411 | 2020-07-16 |
| 1194342816 | Laurel Thiel Silver | Student in an Organized Health Care Education/Training Program | 2865 Logan Ave, San Diego, CA 92113-2411 | 2020-06-29 |
| 1831712793 | Carly Lynn Gunnersen | Counselor | 2865 Logan Ave, San Diego, CA 92113-2411 | 2020-05-26 |
| 1477175602 | Safyyah Deseree Davis | Licensed Vocational Nurse | 2865 Logan Ave, San Diego, CA 92113-2411 | 2020-05-11 |
| 1134741549 | Angela Sarmiento | Licensed Vocational Nurse | 2865 Logan Ave, San Diego, CA 92113-2411 | 2020-05-08 |
| 1477175883 | Jary Barreto Crisi Center | Counselor | 2865 Logan Ave, San Diego, CA 92113-2411 | 2020-05-08 |
| 1689205510 | Jasmine De Santiago | Counselor | 2865 Logan Ave, San Diego, CA 92113-2411 | 2020-01-29 |
| 1518597103 | Karalyn Cardinale Hingorani | Counselor | 2865 Logan Ave, San Diego, CA 92113-2411 | 2020-01-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609305986 | Cynthia Alba | Nutritionist | 1809 National Ave., San Diego, CA 92113 | 2017-06-08 |
| 1184153983 | Jessy Milligan | Counselor | 4125 Alpha Street, San Diego, CA 92113 | 2017-06-06 |
| 1730557406 | Deborah Mary Malloy | Counselor | Jary Barreto, 2865 Logan Avenue, San Diego, CA 92113 | 2015-09-10 |
| 1104220912 | Imhotep Mustaqeem | Counselor | 3336 Steel Street, San Diego, CA 92113 | 2014-10-22 |
| 1831507300 | Olga Vasileva | Student in an Organized Health Care Education/Training Program | 2865 Logan Avenue, San Diego, CA 92113 | 2014-07-29 |
| 1477961951 | Angelica Quezada | Counselor | 32510 Newton Avenue B103, San Diego, CA 92113 | 2014-07-28 |
| 1477986750 | Anita Pena | Licensed Vocational Nurse | 604 Olivewood Ter, San Diego, CA 92113 | 2013-08-09 |
| 1134459399 | Susana Cabada | Technician, Other | 4031 Marine View Ave., San Diego, CA 92113 | 2010-01-11 |
| 1669595609 | Maria Emilia Siller | Registered Nurse | 3177a Oceanview Blvd, San Diego, AL 92113 | 2007-04-06 |
| 1710009691 | Maria Engracia Siordia | Licensed Vocational Nurse | 3177a Ocean View Blvd, San Diego, CA 92113 | 2007-04-04 |
| Find all providers in zip 92113 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396346359 | Christina L Thomas | Counselor | 4611 Alamo Dr, San Diego, CA 92115-5907 | 2020-11-05 |
| 1639779101 | Paula Perez | Counselor | 5882 Adobe Falls Rd, San Diego, CA 92120-4600 | 2020-10-26 |
| 1558974378 | Monica Dixon | Counselor | 4930 Naples St Fl 1, San Diego, CA 92110-3820 | 2020-08-31 |
| 1952911612 | Shannon Kathleen Nolte | Counselor | 13111 Kellam Ct Apt 9, San Diego, CA 92130-1251 | 2020-08-06 |
| 1033728498 | Hala Kadhem | Counselor | 1664 Broadway, El Cajon, San Diego, CA 92021 | 2020-07-30 |
| 1487279493 | Christi Susan Leyva | Counselor | 10417 Crosscreek Ter, San Diego, CA 92131-1344 | 2020-06-15 |
| 1285256099 | Jehna Barnes | Counselor | 3636 Camino Del Rio N, San Diego, CA 92108-1703 | 2020-05-14 |
| 1457973455 | Cassandra Detgen | Counselor | 5252 Orange Ave Unit 125, San Diego, CA 92115-6029 | 2020-05-12 |
| 1972131589 | Douglas Baker Marriage and Family Therapy, Inc. | Counselor | 2911 Adams Ave # 5, San Diego, CA 92116-1509 | 2020-03-30 |
| 1255966859 | Job Brunat | Counselor | 4169 38th St Apt 10, San Diego, CA 92105-1367 | 2020-03-04 |
| Find all providers in SAN DIEGO | ||||
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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.