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DANIEL MARK GORDON M.D.
NPI 1144342601
Psychiatry & Neurology - Addiction Psychiatry in San Luis Obispo, CA

Active since April 04, 2007PECOS Enrolled
620 CALIFORNIA BLVD STE P, SAN LUIS OBISPO, CA 93401(805) 544-8709(805) 544-7809 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Daniel Mark Gordon M.d. NPPES

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

DANIEL MARK GORDON M.D. (NPI 1144342601) is an individual addiction psychiatry provider in San Luis Obispo, California, licensed in California (G42749) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1144342601
Entity TypeIndividualMale
Primary Taxonomy2084P0802X
Provider Legal NameDANIEL MARK GORDONCredential: M.D.
Location Address620 CALIFORNIA BLVD STE PSan Luis Obispo, CA 93401-2590
Mailing Address620 California Blvd Ste PSan Luis Obispo, CA 93401-2590 · (805) 544-8709 · Fax (805) 544-7809
Phone(805) 544-8709
Fax(805) 544-7809
Sole ProprietorYes
Enumeration DateApril 4, 2007
Last NPPES UpdateSeptember 11, 2025
✔ NPI 1144342601 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Addiction PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0802X
License✔ Licensed in CA · G42749
Definition
Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License G42749 (CA)
620 CALIFORNIA BLVD STE P, San Luis Obispo, CA 93401
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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)

Daniel 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.

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 Daniel Gordon's NPI number?

The NPI number for Daniel Gordon is 1144342601. It was assigned to this individual provider in the NPPES registry on April 4, 2007.

Where is Daniel Gordon located?

Daniel Gordon practices at 620 California Blvd Ste P, San Luis Obispo, CA 93401. The listed phone number is (805) 544-8709.

What is Daniel Gordon's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Addiction Psychiatry, with taxonomy code 2084P0802X.

Is Daniel Gordon enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Daniel Gordon was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.