DR. ANTHONY THOMAS GORDON IV MD
NPI 1235830423
Student in an Organized Health Care Education/Training Program in Sacramento, CA

Q: What is Anthony Gordon's NPI number?

The NPI number for Anthony Gordon is 1235830423. It was assigned to this individual provider in the NPPES registry on March 14, 2023.

Q: What is Anthony Gordon's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Anthony Gordon was last updated on April 28, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 14, 2023PECOS Enrolled

4150 V ST STE 1200, SACRAMENTO, CA 95817(916) 734-5028 Get Directions Write a Review

NPPES record last updated: April 28, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 28, 2026, Apr 10, 2025, Mar 14, 2023 (3 updates tracked since 2023).

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About Dr. Anthony Thomas Gordon Iv Md NPPES

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

DR. ANTHONY THOMAS GORDON IV MD (NPI 1235830423) is an individual student in an organized health care education/training program in Sacramento, California and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235830423

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. ANTHONY THOMAS GORDON IVCredential: MD

Location Address4150 V ST STE 1200Sacramento, CA 95817-1460

Mailing Address4150 V St Ste 1200Sacramento, CA 95817-1460 · (916) 734-5028

Phone(916) 734-5028

Sole ProprietorYes

Enumeration DateMarch 14, 2023

Last NPPES UpdateApril 28, 20263 updates tracked since enumeration

NPPES CertifiedApril 28, 2026

✔ NPI 1235830423 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

4150 V ST STE 1200, Sacramento, CA 95817

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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)

Dr. Anthony Thomas Gordon Iv Md 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.

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.

JENNIFER E LINDBERG CRNA

Anesthesiology

4150 V ST STE 1200, ANESTHESIOLOGY & PAIN MEDICINE, UCDMC
SACRAMENTO, CA 95817

Sacramento County (916) 734-7985

LEINANI SALAMASINA AIONO-LE TAGALOA MBCHB

Anesthesiology

4150 V ST STE 1200, DEPT. OF ANESTHESIOLOGY & PAIN MEDICINE
SACRAMENTO, CA 95817

Sacramento County (916) 734-7985

MR. DEREK GWYN EVANS CRNA

Nurse Anesthetist, Certified Registered

4150 V ST STE 1200, PSSB SUITE 1200 ANESTHESIOLOGY & PAIN MEDICINE
SACRAMENTO, CA 95817

Sacramento County (916) 734-5028

CATHERINE P ESTREMERA CRNA

Nurse Anesthetist, Certified Registered