CARL J. GORDON, M.D. INC. (NPI# 1780848473) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780848473 |
| Entity Type | Organization |
| Organization Name | CARL J. GORDON, M.D. INC. |
| Practice Address |
6360 Wilshire Blvd Suite 409 Los Angeles CA 90048-5603 |
| Practice Telephone | 3239312606 |
| Practice Fax Number | 3239312927 |
| Mailing Telephone | 3239312606 |
| Mailing Fax Number | 3239312927 |
| Enumeration Date | 2008-07-11 |
| Last Update Date | 2009-07-14 |
| Authorized Official Name | DR. CARL JEFFREY GORDON (PRESIDENT) |
| Authorized Official Telephone | 3239312606 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS0132X |
Clinic/Center Specialization: Ophthalmologic Surgery |
G9592 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 000G95920 | 05 | |
| CA | CALIFORNIA MEDICAL LICENSE | G9592 | 01 |
| Street Address |
6360 WILSHIRE BLVD SUITE 409 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90048-5603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356335277 | Homayoon Khanlou | Internal Medicine | 6360 Wilshire Blvd, 414, Los Angeles, CA 90048 | 2005-09-07 |
| 1497202139 | Cheryl Che | Pharmacist | 6360 Wilshire Blvd, Los Angeles, CA 90048-5603 | 2016-09-09 |
| 1366804825 | Samuel Ross Md Inc | Internal Medicine | 6360 Wilshire Blvd, #102, Los Angeles, CA 90048-5603 | 2016-03-24 |
| 1831578780 | Henry Lo Dds Inc | Dentist | 6360 Wilshire Blvd, Suite Number 403, Los Angeles, CA 90048-5603 | 2015-05-26 |
| 1063803120 | Wesley Mcgeachy | Physical Therapist | 6360 Wilshire Blvd, 302, Los Angeles, CA 90048-5603 | 2015-02-11 |
| 1366857690 | Justin Ghiam | Dentist | 6360 Wilshire Blvd, Suite 512, Los Angeles, CA 90048-5603 | 2014-06-25 |
| 1821438987 | Miiid Incorporated | Internal Medicine | 6360 Wilshire Blvd, Ste 414, Los Angeles, CA 90048-5603 | 2013-07-03 |
| 1467707620 | Daniel Paul Rodriguez | Occupational Therapist | 6360 Wilshire Blvd, Ste.300, Los Angeles, CA 90048-5603 | 2012-07-13 |
| 1982979787 | Senny Schnell | Behavioral Analyst | 6360 Wilshire Blvd, Ste 300, Los Angeles, CA 90048-5603 | 2012-03-13 |
| 1821371501 | Margaret Laemmle Reisbaum | Speech-Language Pathologist | 6360 Wilshire Blvd, Suite 300, Los Angeles, CA 90048-5603 | 2011-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609473420 | Alden Advanced Surgicenter LLC | Clinic/Center | 8741 Alden Drive, Suite B, Los Angeles, CA 90048 | 2020-10-05 |
| 1760090062 | New Dawn Tms Psychiatry | Clinic/Center | 640 S San Vincente Blvd, Ste. 210, Los Angeles, CA 90048 | 2020-07-22 |
| 1114547312 | Savannah Marie Gonzales | Student in an Organized Health Care Education/Training Program | 8700 Beverly Blvd Suite 3636, Los Angeles, CA 90048 | 2020-04-17 |
| 1861048613 | Sam Dawkins | Internal Medicine | Suite 415e, 8631 West Third Street, Los Angeles, CA 90048 | 2019-08-16 |
| 1295202638 | Caleb Rogers Penn | Anesthesiology | Cedars-sinai Department of Anesthesiology, 8700 Beverly Blvd, Los Angeles, CA 90048 | 2018-10-24 |
| 1437641727 | Medical Imaging Center of Southern California-beverly Hills, Inc | Radiology | 8727 Beverly Blvd, Los Angeles, CA 90048 | 2018-06-01 |
| 1689164121 | Maulin Shah | Student in an Organized Health Care Education/Training Program | 8700 Beverly Blvd Suite 5512, Los Angeles, CA 90048 | 2018-05-10 |
| 1013423631 | Abdul Ali Qaderi | Anesthesiology | 8700 Beverly Blvd Suite 4209, Los Angeles, CA 90048 | 2017-12-19 |
| 1619483559 | Sakeenah Hakim | Social Worker | 292 S. La Cienega Blvd, Suite 102, Los Angeles, CA 90048 | 2017-12-14 |
| 1851805048 | West Hollywood Medical Group Inc | General Practice | 8733 Beverly Blvd Suite #203, West Hollywood, CA 90048 | 2017-11-27 |
| Find all providers in zip 90048 | ||||
| Taxonomy Code | 261QS0132X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ophthalmologic Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972982114 | Cmmp Clinica De Ojos | Clinic/Center | 2007 Wilshire Blvd, Suite 522, Los Angeles, CA 90057-3506 | 2015-05-20 |
| 1780901520 | Westwood Eye Surgical Institute, Inc. | Clinic/Center | 10884 Santa Monica Blvd, Second Floor, Los Angeles, CA 90025-4646 | 2010-05-03 |
| 1033309406 | Wilshire Center for Ambulatory Surgery, Inc. | Clinic/Center | 1127 Wilshire Blvd, Suite 1515, Los Angeles, CA 90017-3901 | 2007-07-31 |
| 1588737035 | Brentwood Ambulatory Surgical Medical Center | Clinic/Center | 11645 Wilshire Blvd, 905, Los Angeles, CA 90025-1708 | 2006-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306478672 | Lancaster Surgery Center LLC | Clinic/Center | 1741 W Avenue J, Lancaster, CA 93534-2703 | 2020-02-05 |
| 1588203988 | High Desert Eye Medical Group, Inc | Clinic/Center | 16030 Kamana Road, Apple Valley, CA 92307-9230 | 2020-01-02 |
| 1194243394 | Jon L Siems Md Inc | Clinic/Center | 31515 Rancho Pueblo Rd Ste 103, Temecula, CA 92592-4837 | 2017-09-07 |
| 1568918449 | The Cataract Vision Institute LLC | Clinic/Center | 3998 Inland Empire Blvd, Ontario, CA 91764-5032 | 2016-08-30 |
| 1417345885 | The Lasik Vision Institute | Clinic/Center | 7088 N Maple Ave, Suite 105, Fresno, CA 93720-0101 | 2015-01-07 |
| 1437565298 | Dr. Barbara S. Yates, Inc. | Clinic/Center | 4804 Laurel Canyon Blvd # 1200, Valley Village, CA 91607-3717 | 2014-07-01 |
| 1770865735 | Vision Institute of Southern California A Professional Medical Corpora | Clinic/Center | 18725 Gale Ave Ste 140, City of Industry, CA 91748-1358 | 2011-09-15 |
| 1548583255 | Gold Coast Vision LLC | Clinic/Center | 461 W 5th St, Oxnard, CA 93030-7049 | 2010-03-09 |
| 1942523139 | Advanced Laser Center | Clinic/Center | 350 S Winchester Blvd, Suite 250, San Jose, CA 95128-2092 | 2010-03-02 |
| 1447485156 | Humboldt Physicians Surgery and Laser Center LLC | Clinic/Center | 3226 Timber Fall Court, Eureka, CA 95503-4888 | 2009-05-26 |
| Find all providers with the same taxonomy | ||||
| City | LOS ANGELES |
| Zip Code | 90048 |
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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.