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DR. GORDON E VAN TASSELL DO
NPI 1104864024
Family Medicine in Hollywood, CA

Active since June 03, 2006PECOS Enrolled
1300 N LA BREA AVE, HOLLYWOOD, CA 90028(323) 464-1336(323) 464-2163 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Gordon E Van Tassell Do NPPES

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

DR. GORDON E VAN TASSELL DO (NPI 1104864024) is an individual family medicine provider in Hollywood, California, licensed in California (20A6929) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104864024
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. GORDON E VAN TASSELLCredential: DO
Location Address1300 N LA BREA AVEHollywood, CA 90028-7504
Mailing Address1300 N La Brea AveHollywood, CA 90028-7504 · (323) 464-1336 · Fax (323) 464-2163
Phone(323) 464-1336
Fax(323) 464-2163
Sole ProprietorNo
Enumeration DateJune 3, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1104864024 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · 20A6929
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1300 N LA BREA AVE, Hollywood, CA 90028
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Gordon E Van Tassell Do 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Gordon Van Tassell reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anaheim Urgent Care, Inc
1.0 mi
Urgent Care
1445 N LA BREA AVE
Los Angeles, CA 90028
  • Reassigned Medicare billing, California enrollment
  • 115 clinicians in this Medicare group
NPI 1407423429 (323) 798-5158
Exer Medical Corporation
22 mi
Urgent Care
26777 AGOURA RD STE B4
Calabasas, CA 91302
  • Reassigned Medicare billing, California enrollment
  • 256 clinicians in this Medicare group
NPI 1588901532 (818) 880-2225

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
78 services37 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
63 services45 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
52 services48 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
38 services30 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
34 services34 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90028 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
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.

Other Providers at the Same Location NPPES 3

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

MR. CALEB THOMAS BRACKIN FNP
Nurse Practitioner (Family)
1300 N LA BREA AVE
LOS ANGELES, CA 90028
Los Angeles County (323) 464-1336
WEST HOLLYWOOD URGENT CARE
Clinic/Center (Urgent Care)
1300 N LA BREA AVE
LOS ANGELES, CA 90028
Los Angeles County (323) 464-1336
CITIZENS MEDICAL GROUP
Family Medicine
1300 N LA BREA AVE
LOS ANGELES, CA 90028
Los Angeles County (323) 464-1336

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 Gordon Van Tassell's NPI number?

The NPI number for Gordon Van Tassell is 1104864024. It was assigned to this individual provider in the NPPES registry on June 3, 2006.

Where is Gordon Van Tassell located?

Gordon Van Tassell practices at 1300 N La Brea Ave, Hollywood, CA 90028. The listed phone number is (323) 464-1336.

What is Gordon Van Tassell's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Gordon Van Tassell enrolled in Medicare?

Yes. Gordon Van Tassell is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Gordon Van Tassell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gordon Van Tassell reassigns Medicare benefits to 2 organizations: Anaheim Urgent Care, Inc (Los Angeles, CA) and Exer Medical Corporation (Calabasas, CA). Each 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 Gordon Van Tassell'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 Gordon Van Tassell was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.