GORDON AVERY LAKE MD
NPI 1356379838
Family Medicine - Adult Medicine in Oakland, CA
NPI Status: Active since June 30, 2006
Contact Information
350 30TH STREET, SUITE 407
OAKLAND, CA
ZIP 94609
Phone: (510) 419-0230
Fax: (510) 419-0273
- Individual
- Male
- Family Medicine
- Adult Medicine
About GORDON LAKE
This page provides the complete NPI Profile along with additional information for Gordon Lake, a primary care provider established in Oakland, California with a medical specialization in Family Medicine, focusing in adult medicine . The healthcare provider is registered in the NPI registry with number 1356379838 assigned on June 2006. The practitioner's primary taxonomy code is 207QA0505X with license number G22921 (CA). The provider is registered as an individual and his NPI record was last updated 10 years ago.
- NPI
- 1356379838
- Provider Name
- GORDON AVERY LAKE MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 350 30TH STREET, SUITE 407 OAKLAND, CA 94609
- Location Phone
- (510) 419-0230
- Location Fax
- (510) 419-0273
- Mailing Address
- 350 30TH STREET, SUITE 407 OAKLAND, CA 94609
- Mailing Phone
- (510) 419-0230
- Mailing Fax
- (510) 419-0273
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 06-30-2006
- Last Update Date
- 01-19-2016
- Code Navigator
A primary care provider (PCP) like Gordon Lake sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Family Medicine Adult Medicine
- Taxonomy Code
- 207QA0505X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- G22921
- License State
- CA
- Taxonomy Description
- The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00G229210 | MEDICARE ID-TYPE UNSPECIFIED (04) | CA | |
| A41775 | MEDICARE UPIN (02) | CA | |
| 00G229210 | MEDICAID (05) | CA |
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1356379838, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 72. The final step is to find the difference between that total and the next multiple of ten (80 - 72 = 8).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 72 is 80. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1356379838, enumerated as an "individual" on June 30, 2006.
The provider is located at 350 30TH STREET, SUITE 407 OAKLAND, CA 94609 and the phone number is (510) 419-0230.
Family Medicine with taxonomy code 207QA0505X and a focus in Adult Medicine.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
