MRS. YVETTE M.C. GORDON (NPI# 1942389242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942389242 |
| Entity Type | Individual |
| Full Name | MRS. YVETTE M.C. GORDON |
| Credential | M.D. |
| Practice Address |
18600 S Figueroa St Suite 201 Gardena CA 90248-4505 |
| Practice Telephone | 3105126755 |
| Practice Fax Number | 3105126725 |
| Mailing Telephone | 3105126755 |
| Mailing Fax Number | 3105126725 |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2017-04-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | A65095 | CA | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | MA074799 | NJ | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 225566 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | NJ LICENSE | MA0704799 | 01 |
| NY | NYS LICENSE | 225566 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326032897 | Yvette F Gordon | Obstetrics & Gynecology | 605 S Conroe Medical Dr, Conroe, TX 77304-4722 | 2005-09-09 |
| Street Address |
18600 S FIGUEROA ST SUITE 201 |
| City | GARDENA |
| State | CA |
| Zip Code | 90248-4505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295734622 | Katrin Elizabeth Massoudian | Obstetrics & Gynecology | 18600 S Figueroa St, 2nd Floor, Ob-gyn, Gardena, CA 90248-4505 | 2005-07-18 |
| 1265971501 | Darren Wong | Pharmacist | 18600 S Figueroa St, Gardena, CA 90248-4505 | 2017-02-20 |
| 1841739273 | Thuy Linh Tran | Pharmacist | 18600 S Figueroa St, Gardena, CA 90248-4505 | 2017-02-17 |
| 1922547488 | Querubin Bowers | Pharmacist | 18600 S Figueroa St, Gardena, CA 90248-4505 | 2017-02-16 |
| 1033669064 | Edward Park | Pharmacist | 18600 S Figueroa St, Gardena, CA 90248-4505 | 2016-10-14 |
| 1265810964 | Sergio Viera | Family Medicine | 18600 S Figueroa St, Gardena, CA 90248-4505 | 2015-05-13 |
| 1487099081 | Kaiser Foundation Health Plan Inc | Pharmacy | 18600 S Figueroa St, Fl 1, Gardena, CA 90248-4505 | 2013-05-08 |
| 1396034450 | Wendy Ho | Preventive Medicine | 18600 S Figueroa St, 1st Floor/unit 120, Gardena, CA 90248-4505 | 2011-03-29 |
| 1700066693 | Juliet H. Hwang | Pediatrics | 18600 S Figueroa St, Gardena, CA 90248-4505 | 2007-11-07 |
| 1366642795 | Ernest Enoch Lee | Dermatology | 18600 S Figueroa St, Gardena, CA 90248-4505 | 2007-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215537543 | Gereine Mae Condino Datan | Nurse Practitioner | 500 W 190 St, Gardena, CA 90248 | 2020-10-27 |
| 1154811297 | Patrick Lee | Technician/Technologist | 18203 S. Western Ave Ste. 102, Torrance, CA 90248 | 2018-05-15 |
| 1386152445 | Ariana Felicitas Nieves | Behavioral Analyst | 870 W 190th St Ste 400, Gardena, CA 90248 | 2018-01-11 |
| 1265949606 | Jessica Keller | Behavioral Analyst | 879 W 190th St Suite 400, Gardena, CA 90248 | 2018-01-08 |
| 1265941199 | Jaimee E Munson | Behavioral Analyst | 18726 S. Western Ave St, #408, Gardena, CA 90248 | 2017-09-22 |
| 1922467349 | Fred Jefferson Memorial Homes | Substance Abuse Rehabilitation Facility | 152 W. Walnut, Suite 150, Gardena, CA 90248 | 2016-02-12 |
| 1922427442 | Shana Reilly | Behavioral Analyst | 18726 S. Western Ave., Suite 408, Los Angeles, CA 90248 | 2014-04-11 |
| 1588002216 | Aacres Ca, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 19300 S. Hamilton Ave, Ste 130, Gardena, CA 90248 | 2013-06-04 |
| 1093057598 | Aids Health Foundation | Pharmacist | 19300 S. Hamilton Ave., Ste 170, Gardena, CA 90248 | 2013-03-22 |
| 1245576594 | Hye Mi Kim | Behavioral Analyst | 18726 S. Western Ave.,#408, Gardena, CA 90248 | 2012-12-13 |
| Find all providers in zip 90248 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639717218 | Shaunte E Anderson | Family Medicine | 1025 W 190th St Ste 450, Gardena, CA 90248-4339 | 2019-12-14 |
| 1811497035 | Peyman Banooni Medical Group, Inc | Family Medicine | 1030 Gardena Blvd, Gardena, CA 90247-4956 | 2018-02-14 |
| 1417192063 | Uche Austine Chukwudi | Family Medicine | 15425 Crenshaw Blvd, Gardena, CA 90249-4523 | 2008-12-11 |
| 1164677464 | Grace Jiyoung Park | Family Medicine | 15446 S. Western Ave, Southern California Permanente Medical Group, Gardena, CA 90249 | 2008-12-01 |
| 1831397728 | Felix Uzimwonyi Igbinosa | Family Medicine | 13910 Emerald Ln, Gardena, CA 90247-2497 | 2007-07-03 |
| 1659581932 | Community Family Care Ipa | Family Medicine | 19210 S Vermont Ave Ste 400, Gardena, CA 90248-4431 | 2007-05-23 |
| 1134295132 | Alfonso M Baez | Family Medicine | 14127 South Vermont Avenue, Gardena, CA 90247-2005 | 2006-11-28 |
| 1124042882 | Gholam Reza Hosseinian | Family Medicine | 1030 W Gardena Blvd, Gardena, CA 90247-4956 | 2006-07-27 |
| 1710920756 | Patrick J Lemm | Family Medicine | 15446 S Western Ave, Gardena, CA 90249-4319 | 2006-06-14 |
| 1861446841 | Manoutcher Khalili | Family Medicine | 1146 W Redondo Beach Blvd, Gardena, CA 90247-3538 | 2006-05-22 |
| Find all providers in GARDENA | ||||
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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.