DR. JEAN GORDON M.D.PH.D. NPI 1306920822

NPI Information

  • NPI: 1306920822
  • Provider Name: DR. JEAN GORDON, M.D.,PH.D.
  • Classification: Specialist - 174400000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • CLIA Number: 05D0927199
  • Address: 2660 SOLACE PL
    SUITE C
    MOUNTAIN VIEW, CA
    ZIP 94040
  • Phone: (650) 938-6559

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NPI Details

DR. Jean Gordon, M.D.,PH.D. is a specialist in Mountain View, CA with 40 years of experience. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DR. Jean Gordon, M.D.,PH.D. NPI is 1306920822. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: STANFORD UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1986

The provider's business location address is:

2660 SOLACE PL
SUITE C
MOUNTAIN VIEW, CA
ZIP 94040-316
Phone: (650) 938-6559
Fax: (650) 938-6510

The NPI 1306920822 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 CLIA number assigned to this NPI record is 05D0927199 - physician office with a certificate type of Certificate of Compliance.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • High dose rate electronic brachytherapy, external (HCPCS:0394T)
  • Obtaining data needed to develop the optimal radiation treatment, 1 treatment area (HCPCS:77280)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Ultrasonic guidance for placement of radiation therapy fields (HCPCS:G6001)
  • Pathology examination of tissue using a microscope, intermediate complexity (HCPCS:88305)
  • Destruction of precancer skin growth, 2-14 growths (HCPCS:17003)
  • Destruction of precancer skin growth, 15 or more growths (HCPCS:17004)
  • Destruction of skin growth, 15 or more growths (HCPCS:17111)
  • Established patient home visit, typically 40 minutes (HCPCS:99349)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Destruction of skin growth, 1-14 growths (HCPCS:17110)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Obtaining data needed to develop the optimal radiation treatment, 3 or more treatment areas or any number of treatment areas where special treatment is involved (HCPCS:77290)
  • Destruction of precancer skin growth, 1 growth (HCPCS:17000)
  • Punch biopsy, first skin growth (HCPCS:11104)
  • Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm (HCPCS:11641)
  • Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 10/24/2006 and was last updated on 7/8/2007.

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
1174400000XSpecialistG60973CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1F15483MEDICARE UPINCALIFORNIA
200G609730MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIAPROVIDER NUMBER

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: 11/21/2025

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