MRS. DANIELLE ALEXIS GORDON FNP NPI 1780148056

NPI Information

NPI: 1780148056
Provider Name: MRS. DANIELLE ALEXIS GORDON, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO INC

PECOS Registration: Yes

Address:
705 PALM AVE
IMPERIAL BEACH, CA
ZIP 91932
Phone: (619) 423-3774
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MRS. Danielle Alexis Gordon, FNP is a family nurse practitioner in Imperial Beach, CA with 6 years of experience. MRS. Danielle Alexis Gordon, FNP NPI is 1780148056. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

705 PALM AVE
IMPERIAL BEACH, CA
ZIP 91932-229
Phone: (619) 423-3774

The NPI 1780148056 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/30/2019 and was last updated on 5/12/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		95010963	CALIFORNIA	No
2	363LF0000X	Nurse Practitioner	Family	NP95010963	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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