MR. JEROME LOUIS GORDON III


Address: 3853 Rosecrans St, San Diego, CA 92110-3115
Phone: 6196150439

MR. JEROME LOUIS GORDON III (NPI# 1336642503) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1336642503
Entity Type Individual
Full Name MR. JEROME LOUIS GORDON III
Practice Address 3853 Rosecrans St
San Diego
CA 92110-3115
Mailing Address 600 B St Ste 1570
San Diego
CA 92101-4560
Practice Telephone 6196150439
Enumeration Date 2018-03-14
Last Update Date 2018-03-14
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163WP0809X Registered Nurse
Specialization: Psych/Mental Health, Adult
690904 CA Nursing Service Providers
Y 164X00000X Licensed Vocational Nurse 690904 CA Nursing Service Providers

Other Providers JEROME GORDON

NPI Name Taxonomy Address Enumeration
1073668596 Jerome Gordon Jr. Occupational Therapist 787 E Northside Dr, Jackson, MS 39206-4945 2007-01-24
1427103886 Jerome S Gordon Psychologist 635 Church St Ne, Salem, OR 97301-2402 2007-01-24

Office Location

Street Address 3853 ROSECRANS ST
City SAN DIEGO
State CA
Zip Code 92110-3115

Providers in the same location

NPI Name Taxonomy Address Enumeration
1750490645 Nicole Marie Lanouette Psychiatry & Neurology 3853 Rosecrans St, San Diego, CA 92110-3115 2006-08-30
1396345260 Jamson Jaeger Deloria Abella Registered Nurse 3853 Rosecrans St, San Diego, CA 92110-3115 2020-10-29
1588262158 Kyle Alvin Pedines Marmolejo Registered Nurse 3853 Rosecrans St, San Diego, CA 92110-3115 2020-10-15
1972101129 Robert James Dodson Registered Nurse 3853 Rosecrans St, San Diego, CA 92110-3115 2020-10-10
1114524402 Ma Rosa Nika Z Paet Registered Nurse 3853 Rosecrans St, San Diego, CA 92110-3115 2020-10-08
1164029740 Charmaine Lim Solmerano Registered Nurse 3853 Rosecrans St, San Diego, CA 92110-3115 2020-10-06
1609483858 Bethany Anne Higgins Registered Nurse 3853 Rosecrans St, San Diego, CA 92110-3115 2020-09-30
1972110609 Shannon M Keene Registered Nurse 3853 Rosecrans St, San Diego, CA 92110-3115 2020-09-27
1396352449 Connor Louis Kleis Registered Nurse 3853 Rosecrans St, San Diego, CA 92110-3115 2020-09-23
1396351284 Lourdes Marie Terry Registered Nurse 3853 Rosecrans St, San Diego, CA 92110-3115 2020-09-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669021713 Ruben Daniel Gutierrez Marriage & Family Therapist 4141 Pacific Coast Hwy, San Diego, CA 92110 2019-09-10
1548724081 Denise Ellen Thompson Counselor 3255 Wings Street, San Diego, CA 92110 2019-01-29
1801378716 Michelle Lisa Jean Crawford Student in an Organized Health Care Education/Training Program 3767 Central Avenue, San Diego, CA 92110 2018-09-06
1427539048 Allison Turrell Case Manager/Care Coordinator 4930 Naples Street, San Diego, CA 92110 2018-08-22
1750872768 Matthew Langworthy Physical Therapist 3405 Kenyon St Ste 212, San Diego, CA 92110 2018-05-24
1245748342 The One Health Boutique, LLC Chiropractor 5350 Riley St, San Diego, CA 92110 2018-01-11
1437670155 Monique A Fernandez Counselor 3132 Jefferson Street, San Diego, CA 92110 2017-07-03
1538510391 Mayu Winters Registered Nurse 853 Rosecrans St, San Diego, CA 92110 2016-06-23
1376998864 Briniti Ichull Specialist 3941 Kurtz St, San Diego, CA 92110 2016-05-03
1912352576 Healthcare Services, Inc. Substance Abuse Rehabilitation Facility 3880 Rosecrans Street, San Diego, CA 92110 2016-05-02
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Taxonomy Information

Taxonomy Code 164X00000X
Grouping Nursing Service Providers
Classification Licensed Vocational Nurse

Taxonomy Definition

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.
Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1952908782 Ying Pan Licensed Vocational Nurse 9909 Azuaga St Unit C107, San Diego, CA 92129-6019 2020-10-05
1194336982 Adelita Jasso Licensed Vocational Nurse 446 Alta Rd # 300, San Diego, CA 92158-0001 2020-08-14
1750909156 Hillary Carlson Licensed Vocational Nurse 4651 36th St, San Diego, CA 92116-3642 2020-07-12
1841816501 Cristiana Paris Zajac Licensed Vocational Nurse 2654 Worden St Unit 106, San Diego, CA 92110-5849 2020-06-18
1952922783 Rosalie Ramos Gayares Licensed Vocational Nurse Del Sur Crisis Center, San Diego, CA 92154 2020-05-04
1972138030 Lamarr Joyner Licensed Vocational Nurse 5930 Conerstone Court West, Suite 300, San Diego, CA 92121 2020-03-10
1720555659 Noelle Dizon Licensed Vocational Nurse 3585 Acacia St, San Diego, CA 92113-3130 2018-10-29
1285114728 Tashiya Jean Miller Licensed Vocational Nurse 3053 Chamoune Ave, San Diego, CA 92105-4307 2018-08-15
1013402445 Eduardo Carrera Licensed Vocational Nurse 11210 Corte Playa Corona, San Diego, CA 92124-4134 2018-06-27
1437651981 Phyllis Lynette Pryor Licensed Vocational Nurse 4974 El Cajon Blvd Suite A, San Diego, CA 92115 2018-03-01
Find all providers in SAN DIEGO

Competitor

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City SAN DIEGO
Zip Code 92110

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Dataset Information

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.

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