EDWARD S. GORDON MD
NPI 1063561488
Obstetrics & Gynecology in Los Angeles, CA
About Edward S. Gordon Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EDWARD S. GORDON MD (NPI 1063561488) is an individual obstetrics & gynecology provider in Los Angeles, California, licensed in California (G38423) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of New York Medical College (1976).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Edward S. Gordon Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Edward Gordon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Van Nuys, CA 91401
- Reassigned Medicare billing, California enrollment
- 218 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90034 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LOS ANGELES, CA 90034
LOS ANGELES, CA 90034
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 Edward Gordon's NPI number?
The NPI number for Edward Gordon is 1063561488. It was assigned to this individual provider in the NPPES registry on January 9, 2007.
Where is Edward Gordon located?
Edward Gordon practices at 6041 Cadillac Ave, Los Angeles, CA 90034. The listed phone number is (323) 857-2000.
What is Edward Gordon's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is Edward Gordon enrolled in Medicare?
Yes. Edward Gordon is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Edward Gordon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Edward Gordon reassigns Medicare benefits to Northeast Valley Health Corporation (Van Nuys, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Edward Gordon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Edward Gordon was last updated on September 23, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Edward S. Gordon, MD · NPI 1063561488
Obstetrics & Gynecology physician in Los Angeles, California. Individual provider, active in the CMS NPPES registry since January 9, 2007.
## Identity
- **NPI:** 1063561488 (Entity type: Individual)
- **Enumerated:** January 9, 2007
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **State license:** G38423 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 6041 CADILLAC AVE, Los Angeles, CA 90034-1702
- **Phone:** (323) 857-2000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Northeast Valley Health Corporation (NPI 1184625568, Van Nuys, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** New York Medical College, class of 1976
## Record status
- **NPPES last updated:** September 23, 2008
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Source: [NPI Profile](https://npiprofile.com/npi/1063561488) · Data from the CMS NPPES public registry.