CALVIN O. GORDON MD
NPI 1174609689
Pediatrics in San Jose, CA

Q: What is Calvin Gordon's NPI number?

The NPI number for Calvin Gordon is 1174609689. It was assigned to this individual provider in the NPPES registry on October 27, 2006.

Q: What is Calvin Gordon's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Calvin Gordon was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 October 27, 2006

260 INTERNATIONAL CIR, SAN JOSE, CA 95119(408) 972-7000 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Calvin O. Gordon Md NPPES

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

CALVIN O. GORDON MD (NPI 1174609689) is an individual pediatrics provider in San Jose, California, licensed in California (G37360) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1174609689

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameCALVIN O. GORDONCredential: MD

Location Address260 INTERNATIONAL CIRSan Jose, CA 95119-1130

Mailing Address1800 Harrison St Fl 7Oakland, CA 94612-3429 · (510) 625-6262

Phone(408) 972-7000

Sole ProprietorNo

Enumeration DateOctober 27, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1174609689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in CA · G37360

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

260 INTERNATIONAL CIR, San Jose, CA 95119

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Other Identifiers 3

Medicare ID-Type Unspecified00G373600

Medicaid00G373600CA

Medicare UPINF08505

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.

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