DR. ARI GORDIN
NPI 1023549946
Student in an Organized Health Care Education/Training Program in San Diego, CA

Q: What is Ari Gordin's NPI number?

The NPI number for Ari Gordin is 1023549946. It was assigned to this individual provider in the NPPES registry on March 22, 2017.

Q: What is Ari Gordin's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Ari Gordin was last updated on August 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 22, 2017PECOS Enrolled

200 W ARBOR DR # MC8465, SAN DIEGO, CA 92103(619) 543-5300 Get Directions Write a Review

NPPES record last updated: August 10, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 10, 2021, Jun 16, 2021, Mar 22, 2017 (3 updates tracked since 2017).

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About Dr. Ari Gordin NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ARI GORDIN (NPI 1023549946) is an individual student in an organized health care education/training program in San Diego, California and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023549946

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. ARI GORDIN

Location Address200 W ARBOR DR # MC8465San Diego, CA 92103-1911

Mailing Address10255 Presilla RdSanta Rosa Valley, CA 93012-8886 · (805) 302-3240

Phone(619) 543-5300

Sole ProprietorYes

Enumeration DateMarch 22, 2017

Last NPPES UpdateAugust 10, 20213 updates tracked since enumeration

NPPES CertifiedAugust 10, 2021

✔ NPI 1023549946 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also ListedPsychiatry & Neurology · Clinical NeurophysiologyTaxonomy 2084N0600X · License A172380 (CA)

200 W ARBOR DR # MC8465, San Diego, CA 92103

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ari Gordin is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MED JIMSON DAGUISON JIMENEZ MD, MS

Student in an Organized Health Care Education/Training Program