TATE WILLIAM GORDON PA-C NPI 1457386765

NPI Information

  • NPI: 1457386765
  • Provider Name: TATE WILLIAM GORDON, PA-C
  • Classification: Physician Assistant - 363A00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 5400 W HILLSDALE AVE
    VISALIA, CA
    ZIP 93291
  • Phone: (559) 738-7555

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NPI Details

Tate William Gordon, PA-C is a physician assistant in Visalia, CA with 20 years of experience. The provider is a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. Tate William Gordon, PA-C NPI is 1457386765. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5400 W HILLSDALE AVE
VISALIA, CA
ZIP 93291-222
Phone: (559) 738-7555
Fax: (559) 738-7578

The NPI 1457386765 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 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.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza (HCPCS:87428)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Urinalysis, manual test (HCPCS:81002)
  • Injection, ketorolac tromethamine, per 15 mg (HCPCS:J1885)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) (HCPCS:87880)
  • Removal of impacted ear wax by washing (HCPCS:69209)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Simple repair of surface wound of scalp, neck, underarms, trunk, arms, or legs, 2.5 cm or less (HCPCS:12001)

The enumeration date for this NPI number is 7/12/2006 and was last updated on 10/3/2016.

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
1363A00000XPhysician AssistantPA18401CALIFORNIAYes

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
1CA161049MEDICARE PINCALIFORNIA
2Q72370MEDICARE UPINCALIFORNIA
3CA173272MEDICARE PINCALIFORNIA

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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