BRIAN GORDON (NPI# 1750445821) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750445821 |
| Entity Type | Individual |
| Full Name | BRIAN GORDON |
| Credential | DC, LAC |
| Practice Address |
5363 Balboa Blvd Suite 436 Encino CA 91316-2805 |
| Mailing Address |
5363 Balboa Blvd Ste 436 Encino CA 91316-2840 |
| Practice Telephone | 8183868835 |
| Mailing Telephone | 8183868835 |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2016-06-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | DC-29620 | CA | Chiropractic Providers |
| N | 171100000X | Acupuncturist | AC-13010 | CA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE PTAN | DC29620 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871818369 | Brian Heath Gordon | Clinical Neuropsychologist | 357 Towne Center Blvd Ste 403, Ridgeland, MS 39157-4844 | 2010-03-29 |
| 1528279809 | Brian Stewart Gordon | Internal Medicine | 2310 Hallock-young Rd., Warren, OH 44482 | 2007-05-25 |
| 1336609437 | Brian Adam Jamison Gordon | Student in an Organized Health Care Education/Training Program | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2019-03-23 |
| 1235662180 | Brian Gordon | Student in an Organized Health Care Education/Training Program | 500 S Preston St, Rm 305, Louisville, KY 40202-1702 | 2017-04-07 |
| 1477003044 | Brian Gordon | Obstetrics & Gynecology | 1200 N State St, Los Angeles, CA 90033-1029 | 2016-10-07 |
| 1114285020 | Brian Gordon | Counselor | 1060 Gaffney Rd Stop 7440, Ft Wainwright, AK 99703-5007 | 2012-04-27 |
| 1740509165 | Brian Phillip Glen Gordon Sr. | Driver | 29 Cambridge Ave, 29 Cambridge Ave., Buffalo, NY 14215-4001 | 2010-05-25 |
| 1922279371 | Brian Gordon | Counselor | 491 Main St, Athol, MA 01331-1846 | 2008-03-13 |
| 1093857641 | Brian Eugene Gordon | Surgery | 714 Hospital Dr, Andrews, TX 79714-3617 | 2007-02-12 |
| 1093755043 | Brian Louis Gordon | Emergency Medicine | 600 N Highland Springs Avenue, Banning, CA 92220 | 2006-06-07 |
| Street Address |
5363 BALBOA BLVD SUITE 436 |
| City | ENCINO |
| State | CA |
| Zip Code | 91316-2805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083692800 | Daniel M Silver | Orthopaedic Surgery | 5363 Balboa Blvd, Suite 445a, Encino, CA 91316-2844 | 2006-01-03 |
| 1780137430 | Zaghi Md, A Professional Corporation | Behavioral Analyst | 5363 Balboa Blvd, Ste 446, Encino, CA 91316-2805 | 2016-07-29 |
| 1003369000 | Always Right Inc | Clinic/Center | 5363 Balboa Blvd, Encino, CA 91316-2805 | 2016-07-27 |
| 1023407947 | West Valley Endodontic Dental Group | Dentist | 5363 Balboa Blvd, Suite 534, Encino, CA 91316-2805 | 2015-01-15 |
| 1538574868 | Encino Orthodontics | Dentist | 5363 Balboa Blvd, Suite 328, Encino, CA 91316-2805 | 2014-06-25 |
| 1396049201 | Ted D Evans | Psychologist | 5363 Balboa Blvd, Encino, CA 91316-2805 | 2011-01-06 |
| 1518285410 | Meredith Rimmer | Psychologist | 5363 Balboa Blvd, Suite 436, Encino, CA 91316-2805 | 2010-05-17 |
| 1154652113 | Breastlink Medical Group Inc | Surgery | 5363 Balboa Blvd, Suite 100, Encino, CA 91316-2805 | 2010-01-14 |
| 1093048365 | Bruce B Becker Md A Medical Corporation | Ophthalmology | 5363 Balboa Blvd, 246, Encino, CA 91316-2805 | 2009-09-17 |
| 1477720613 | Synergy Hematology Oncology Medical Associates, Inc. | Specialist | 5363 Balboa Blvd, Suite 345., Encino, CA 91316-2805 | 2008-05-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548883341 | Kerry Ann Mclean | Marriage & Family Therapist | 1777 Ventura Blvd Unit 103, Encino, CA 91316 | 2020-05-27 |
| 1336793124 | Achieve Speech Associates, Inc. | Clinic/Center | 17605 Ventura Boulevard, #302, Encino, CA 91316 | 2019-07-30 |
| 1053978312 | Somnia Sleep Science & Treatment Center | Clinic/Center | 5435 Balboa Blvd Suite 100, Encino, CA 91316 | 2019-05-22 |
| 1437634466 | New Spirit Recovery, LLC | Substance Abuse Rehabilitation Facility | 17856 Cathedral Pl., Encino, CA 91316 | 2018-09-25 |
| 1649762014 | Hashemi Ophthalmology, PC | Ophthalmology | 5353 Balboa Blvd Ste 110, Encino, CA 91316 | 2018-06-01 |
| 1932614310 | Hannah Esther Weinsrein | Marriage & Family Therapist | 17337 Ventura Blvd., Sutie #317, Encino, CA 91316 | 2017-12-07 |
| 1881118560 | Paula Miley | Marriage & Family Therapist | 5535 Balboa Blvd #202, Encino, CA 91316 | 2017-08-03 |
| 1477088193 | Rachela Conti | Psychologist | 5400 Balboa Blvd. #311, Encino, CA 91316 | 2017-05-01 |
| 1962857235 | Jessica Shlager | Occupational Therapist | 6345 Balboa Boulevard Suite 120, Encino, CA 91316 | 2016-04-25 |
| 1720432800 | Canyon West Los Angeles LLC | Clinic/Center | 17167 W. Ventura Boulevard, Encino, CA 91316 | 2016-04-14 |
| Find all providers in zip 91316 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295379329 | Babak Mirabadi | Chiropractor | 5415 Newcastle Ave Apt 34, Encino, CA 91316-2022 | 2019-11-01 |
| 1780168583 | Nikaeen Chiropractic P.c | Chiropractor | 16661 Ventura Blvd Ste 700, Encino, CA 91436-1992 | 2018-09-18 |
| 1619362506 | Shahrouz Parvinjah | Chiropractor | 16200 Ventura Blvd Ste 201, Encino, CA 91436-4633 | 2015-03-30 |
| 1104229335 | Advanced Chiropractic & Rehab Center Patrick Khaziran Dc Inc | Chiropractor | 16200 Ventura Blvd., Suite 201, Encino, CA 91436-4633 | 2014-10-02 |
| 1639585789 | Meridian Chiropractic Group | Chiropractor | 16200 Ventura Blvd Ste 409, Encino, CA 91436-4699 | 2014-07-09 |
| 1144561929 | United Spine Care, A Professional Medical Corporation | Chiropractor | 17200 Ventura Blvd Ste 212, Encino, CA 91316-4092 | 2013-03-04 |
| 1245575323 | Christopher Mingsing Tsai | Chiropractor | 15840 Ventura Blvd Ste 106, Encino, CA 91436-4739 | 2012-11-30 |
| 1427315332 | Afsaneh Soltanpour | Chiropractor | 17049 Ventura Blvd, Encino, CA 91316-4128 | 2012-04-16 |
| 1578869491 | Kari Anne Andrew | Chiropractor | 5300 Newcastle Ave, Apt #77, Encino, CA 91316-3072 | 2011-02-10 |
| 1841593217 | Omid Javaherian Chiropractic LLC | Chiropractor | 16430 Ventura Blvd., Suite #106, Encino, CA 91436 | 2010-12-07 |
| Find all providers in ENCINO | ||||
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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.