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DR. EARL MARK GORDON M.D.
NPI 1053534925
Internal Medicine - Nephrology in Santa Monica, CA

Active since April 10, 2007PECOS Enrolled
2021 SANTA MONICA BLVD STE 421E, SANTA MONICA, CA 90404(310) 453-4599(310) 453-6620 Get Directions Write a Review

NPPES record last updated: November 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 21, 2022, Nov 2, 2021 (2 updates tracked since 2021).

About Dr. Earl Mark Gordon M.d. NPPES

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

DR. EARL MARK GORDON M.D. (NPI 1053534925) is an individual nephrology provider in Santa Monica, California, licensed in California (G 35140) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS and maintains a secondary practice location in Santa Monica.

NPPES Registry Identity

NPI1053534925
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameDR. EARL MARK GORDONCredential: M.D.
Location Address2021 SANTA MONICA BLVD STE 421ESanta Monica, CA 90404-2144
Mailing Address2001 Santa Monica Blvd, Suite # 765 - WSanta Monica, CA 90404-2102 · (310) 453-4599 · Fax (310) 453-6620
Phone(310) 453-4599
Fax(310) 453-6620
Sole ProprietorYes
Enumeration DateApril 10, 2007
Last NPPES UpdateNovember 21, 20222 updates tracked since enumeration
NPPES CertifiedNovember 21, 2022
✔ NPI 1053534925 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in CA · G 35140
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
2021 SANTA MONICA BLVD STE 421E, Santa Monica, CA 90404
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Secondary Practice Location 1

Location 12001 Santa Monica Blvd, SUITE # 765 - WSanta Monica, CA 90404-2102 · Phone (310) 453-4599 · Fax (310) 453-6620

Other Identifiers 2

MedicaidZZZ 73491 ZCA
OtherG 35140CA · California Med. License

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. Earl Mark Gordon M.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90404 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 8

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers23 claims46 services$5.49 avg. paid by Medicare
Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers40 claims4,155 services$0.31 avg. paid by Medicare
Prednisone, immediate release or delayed release, oral, 1 mg J7512
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers27 claims3,720 services$0.01 avg. paid by Medicare
Cyclosporine, oral, 25 mg J7515
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers12 claims1,170 services$0.48 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers29 claims3,780 services$0.19 avg. paid by Medicare
Sirolimus, oral, 1 mg J7520
Treatment-Treatment - Miscellaneous · category RX029N
3 suppliers23 claims1,791 services$2.77 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Earl Gordon's NPI number?

The NPI number for Earl Gordon is 1053534925. It was assigned to this individual provider in the NPPES registry on April 10, 2007.

Where is Earl Gordon located?

Earl Gordon practices at 2021 Santa Monica Blvd Ste 421E, Santa Monica, CA 90404. The listed phone number is (310) 453-4599.

What is Earl Gordon's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Earl Gordon enrolled in Medicare?

Yes. Earl Gordon is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Earl Gordon was last updated on November 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.