BENJAMIN STUART GORDON PA-C NPI 1821184078

NPI Information

  • NPI: 1821184078
  • Provider Name: BENJAMIN STUART GORDON, PA-C
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • Address: 950 N STATE ST
    BLDG B, SUITE D & E
    HEMET, CA
    ZIP 92543
  • Phone: (951) 765-1777

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NPI Details

Benjamin Stuart Gordon, PA-C is a medical physician assistant in Hemet, CA. Benjamin Stuart Gordon, PA-C NPI is 1821184078. 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:

950 N STATE ST
BLDG B, SUITE D & E
HEMET, CA
ZIP 92543-485
Phone: (951) 765-1777
Fax: (951) 765-1772

The enumeration date for this NPI number is 10/5/2006 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
1363AM0700XPhysician AssistantMedicalPA17205CALIFORNIAYes

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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