Daniel Gordon, NP | |
8000 Marina Blvd Ste 600, Brisbane, CA 94005-1887 | |
(415) 514-3577 | |
Not Available |
Full Name | Daniel Gordon |
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Gender | Male |
Speciality | Nurse Practitioner - Gerontology |
Location | 8000 Marina Blvd Ste 600, Brisbane, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255042768 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 95019216 (California) | Secondary |
363LG0600X | Nurse Practitioner - Gerontology | NP95019216 (California) | Primary |
Entity Name | Regents Of The University Of California |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881763597 PECOS PAC ID: 4284547274 Enrollment ID: O20031106000389 |
Entity Name | University Of California San Francisco |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861578973 PECOS PAC ID: 4486567229 Enrollment ID: O20031212000897 |
Entity Name | Ucsf Medical Group Business Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477624104 PECOS PAC ID: 3779497870 Enrollment ID: O20040622001513 |
Mailing Address | Practice Location Address |
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Daniel Gordon, NP 405 Davis Ct Apt 1806, San Francisco, CA 94111-2439 Ph: () - | Daniel Gordon, NP 8000 Marina Blvd Ste 600, Brisbane, CA 94005-1887 Ph: (415) 514-3577 |
Thao Nguyen, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 453 San Francisco Ave, Brisbane, CA 94005 Phone: 925-497-0188 | |
Helen Horvath, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8000 Marina Blvd Ste 600, Brisbane, CA 94005 Phone: 415-514-3577 |