RONELL LAWRENCE GORDON NPI 1528884244

NPI Information

  • NPI: 1528884244
  • Provider Name: RONELL LAWRENCE GORDON
  • Classification: Peer Specialist - 175T00000X
  • Entity Type: Individual
  • Address: 500 JEFFERSON BLVD BLDG B
    WEST SACRAMENTO, CA
    ZIP 95605
  • Phone: (530) 314-7559

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NPI Details

Ronell Lawrence Gordon is a peer specialist in West Sacramento, CA. The provider is individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. Ronell Lawrence Gordon NPI is 1528884244. 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:

500 JEFFERSON BLVD BLDG B
WEST SACRAMENTO, CA
ZIP 95605-350
Phone: (530) 314-7559

The enumeration date for this NPI number is 11/26/2024 and was last updated on 11/26/2024.

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
1175T00000XPeer SpecialistCALIFORNIAYes

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

NPI Synchronization or Removal

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