Gordon Avery Lake, MD in Oakland, CA

Gordon Avery Lake, MD is a Family Medicine - Adult Medicine physician based in Oakland, California. Gordon Avery Lake is licensed to practice in California (license number G22921) and his current practice location is 350 30th Street, Suite 407, Oakland, California. He can be reached at his office (for appointments etc.) via phone at (510) 419-0230.

NPI number for Gordon Avery Lake is 1356379838 and his current mailing address is 350 30th Street, Suite 407, Oakland, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1356379838.

Contact Information

	Gordon Avery Lake, MD
	350 30th Street, Suite 407, Oakland, CA 94609
	(510) 419-0230
	(510) 419-0273

Map and Direction

Physician's Profile

Full Name	Gordon Avery Lake
Gender	Male
Speciality	Family Medicine - Adult Medicine
Location	350 30th Street, Suite 407, Oakland, California
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1356379838
Provider Enumeration Date: 06/30/2006
Last Update Date: 01/19/2016

Medical Identifiers

Medical identifiers for Gordon Avery Lake such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356379838	NPI	-	NPPES
00G229210	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207QA0505X	Family Medicine - Adult Medicine	G22921 (California)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Gordon Avery Lake is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Gordon Avery Lake, MD 350 30th Street, Suite 407, Oakland, CA 94609 Ph: (510) 419-0230	Gordon Avery Lake, MD 350 30th Street, Suite 407, Oakland, CA 94609 Ph: (510) 419-0230

Reviews and Comments

Family Medicine Doctors in Oakland, CA

Phuong Duc Dang, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 145 International Blvd, Oakland, CA 94606 Phone: 510-465-4422 Fax: 510-465-1466
Lisa Renee Montang, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1030 International Blvd, Oakland, CA 94601 Phone: 510-238-5400 Fax: 510-238-5437
Asano Floy Fertig, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1515 Fruitvale Ave, Oakland, CA 94601 Phone: 510-535-6300 Fax: 510-535-5802
Dr. Brent K. Sugimoto, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 275 W Macarthur, Oakland, CA 94611 Phone: 510-752-1000 Fax: 925-370-5142
Mr. Yuyang Mei, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 818 Webster St, Oakland, CA 94607 Phone: 510-986-6800 Fax: 510-986-6896
Valerie A. Mcfarlane, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 275 W Macarthur Blvd, Oakland, CA 94611 Phone: 510-752-1000
Monique Thiry-zaragoza, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1030 International Blvd, Oakland, CA 94606 Phone: 510-238-5400 Fax: 510-238-5437

Gordon Avery Lake, MD - Family Medicine in Oakland, CA