BRUCE L. GORDON (NPI# 1760590699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760590699 |
| Entity Type | Individual |
| Full Name | BRUCE L. GORDON |
| Credential | MD |
| Practice Address |
2801 'l' Street Sacramento CA 95816 |
| Mailing Address |
P.o. Box 12020 Westminster CA 92685-2020 |
| Practice Telephone | 9167333003 |
| Mailing Telephone | 8885565617 |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2009-10-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | C34270 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00C342700 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639457773 | Bruce A Gordon | General Practice | 8 Upland Ave, Mill Valley, CA 94941-1130 | 2011-07-22 |
| 1083905707 | Bruce R. Gordon | Psychologist | 270-26th St., Suite 202, Santa Monica, CA 90402 | 2011-04-28 |
| 1942430160 | Bruce Gordon | Social Worker | 778 Frontage Rd, Suite 115, Northfield, IL 60093-1209 | 2009-07-22 |
| 1356354658 | Bruce David Gordon | Emergency Medicine | 410 Dewey St, Wisconsin Rapids, WI 54495-8070 | 2006-08-15 |
| 1760424758 | Bruce Lewis Gordon | Ophthalmology | 170 Maple Ave, Suite 402, White Plains, NY 10601-4710 | 2006-06-12 |
| 1952348153 | Bruce M Gordon | Internal Medicine | 8150 N Central Expy, Suite M1001, Dallas, TX 75206-1815 | 2006-05-31 |
| 1689622961 | Bruce G Gordon | Pediatrics | 988102 Nebraska Medical Ctr, Omaha, NE 68198-8102 | 2006-05-05 |
| 1881657104 | Bruce Gordon | Internal Medicine | 505 E 70th St, 2nd Floor, New York, NY 10021-4872 | 2006-04-08 |
| 1801880562 | Bruce Myron Gordon | Pharmacist | 310 Otto Ln, Gambrills, MD 21054-1056 | 2005-09-08 |
| 1467446542 | Bruce Roderick Gordon | Otolaryngology | 65 Cedar St, Hyannis, MA 02601-3009 | 2005-09-06 |
| Street Address |
2801 'L' STREET |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95816 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104934256 | Caroline Nguyen | Emergency Medicine | 2801 'l' Street, Sacramento, CA 95816 | 2006-08-28 |
| 1972695328 | Sutter Emergency Medical Associates | Emergency Medicine | 2801 'l' Street, Sacramento, CA 95616 | 2006-09-29 |
| 1912000423 | Kossuth Franklin Hollingshead | Emergency Medicine | 2801 'l' Street, Sacramento, CA 95816 | 2006-09-07 |
| 1497863377 | Andrew C. Prints | Emergency Medicine | 2801 'l' Street, Sacramento, CA 95816 | 2006-08-29 |
| 1508974536 | Gary L. Hallam | Emergency Medicine | 2801 'l' Street, Sacramento, CA 95816 | 2006-08-29 |
| 1720196611 | Scott D. Stringer | Emergency Medicine | 2801 'l' Street, Sacramento, CA 95816 | 2006-08-29 |
| 1215045059 | Gustavo Salas | Physician Assistant | 2801 'l' Street, Sacramento, CA 95816 | 2006-08-29 |
| 1700994597 | Alvaro R. Aguirre | Physician Assistant | 2801 'l' Street, Sacramento, CA 95816 | 2006-08-29 |
| 1851409759 | Karen L. Scarpa | Emergency Medicine | 2801 'l' Street, Sacramento, CA 95816 | 2006-08-29 |
| 1942318852 | John Kelly Nations | Emergency Medicine | 2801 'l' Street, Sacramento, CA 95816 | 2006-08-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922618917 | Alyssa Weakley | Clinical Neuropsychologist | Uc Davis Midtown Neurology Clinic, 3160 Folsom Blvd, Sacramento, CA 95816 | 2020-08-04 |
| 1417418955 | Soraya Foutouhi | Student in an Organized Health Care Education/Training Program | 301 C Street, Suite 1400, Sacramento, CA 95816 | 2019-03-27 |
| 1265902704 | Daljit Girn | Behavior Technician | 1315 Alhambra Blvd Ste 110, Sacramento, CA 95816 | 2018-11-27 |
| 1609385178 | Jared James Harold-husted | Behavior Technician | 3031 C St, Sacramento, Sacramento, CA 95816 | 2017-09-27 |
| 1124537170 | Phuong Huynh | Behavior Technician | 3009 C Street, Sacramento, CA 95816 | 2017-09-21 |
| 1427570811 | Manpreet Kaur Chehal | Counselor | 500 22nd Street, Sacramento, CA 95816 | 2017-07-07 |
| 1295264646 | Veronica Lynn Just | Behavior Technician | 3031 C St., Sacramento, CA 95816 | 2017-06-08 |
| 1285163907 | Marquise Jones | Behavior Technician | 3031 C Street, Sacramento, CA 95816 | 2017-06-06 |
| 1578007159 | Kate Hanel | Student in an Organized Health Care Education/Training Program | 2500 I St, Sacramento, CA 95816 | 2016-12-15 |
| 1184174534 | Jennifer M Stegner | Nurse Practitioner | 1625 Stockton Blvd #104, Sacramento, CA 95816 | 2016-10-10 |
| Find all providers in zip 95816 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568850709 | Jessica Paz | Emergency Medicine | 4610 X Street, Apt 154, Sacramento, CA 95817 | 2014-12-22 |
| 1215221635 | Alison Barrow | Emergency Medicine | 4100 Folsom Blvd, Unit 1b, Sacramento, CA 95819-4055 | 2011-06-02 |
| 1538458351 | Boomer Medical Clinic | Emergency Medicine | 3525 Watt Ave, Sacramento, CA 95821 | 2011-04-01 |
| 1245551001 | Jeffrey Lynn Wiswell Jr. | Emergency Medicine | 4150 V Street, Pssb Suite 2100, Dept of Emergency Medicine, Uc Davis Medical Center, Sacramento, CA 95817 | 2010-06-16 |
| 1114246287 | Julianne Marie Awrey | Emergency Medicine | 2315 Stockton Blvd., Pssb 2100, Sacramento, CA 95817 | 2010-05-27 |
| 1629394036 | Ryan Joseph Ribeira | Emergency Medicine | 3126 W St Apt 2, Sacramento, CA 95817-1273 | 2010-04-09 |
| 1427371087 | Omar R Washington | Emergency Medicine | 3424 52nd St, Sacramento, CA 95820 | 2010-03-10 |
| 1255654570 | Jamal Rahman Rahimi | Emergency Medicine | 4870 T St., Sacramento, CA 95819 | 2010-03-02 |
| 1508197591 | Seyun Kim | Emergency Medicine | 1501 16th St Apt 205, Sacramento, CA 95814-6075 | 2010-01-15 |
| 1205164050 | Sage Wexner | Emergency Medicine | 4510 V St, Suite 2100, Sacramento, CA 95817 | 2009-12-04 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95816 |
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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.