RITA GORDON CNM
NPI 1477923076
Advanced Practice Midwife in Santa Monica, CA

Active since September 25, 2015PECOS EnrolledAccepts Medicare Assignment
1245 16TH ST STE 312, SANTA MONICA, CA 90404(310) 794-7274 Get Directions Write a Review

NPPES record last updated: May 23, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 23, 2022, Mar 28, 2016 (2 updates tracked since 2016).

About Rita Gordon Cnm NPPES

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

RITA GORDON CNM (NPI 1477923076) is an individual advanced practice midwife in Santa Monica, California, licensed in California (236078) and active in the NPI registry since September 2015. She is enrolled in Medicare PECOS, maintains a secondary practice location in Jamaica, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1477923076
Entity TypeIndividualFemale
Primary Taxonomy367A00000X
Provider Legal NameRITA GORDONCredential: CNM
Location Address1245 16TH ST STE 312Santa Monica, CA 90404-1239
Mailing Address5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631 · (310) 301-8707 · Fax (646) 312-0481
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateSeptember 25, 2015
Last NPPES UpdateMay 23, 20222 updates tracked since enumeration
NPPES CertifiedMay 23, 2022
✔ NPI 1477923076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367A00000X
License✔ Licensed in CA · 236078
Definition
Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.
Also ListedMidwifeTaxonomy 176B00000X · License F001714 (NY)
1245 16TH ST STE 312, Santa Monica, CA 90404

Secondary Practice Location 1

Location 19004 161st StJamaica, NY 11432-6141 · Phone (718) 523-2123 · Fax (718) 523-5833

Other Identifiers 1

Medicaid00695941NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Rita Gordon Cnm is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2860791134
PECOS Enrollment IDI20220331001697
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 Rita Gordon reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Obstetrics & Gynecology
200 MEDICAL PLAZA, SUITE 430
Los Angeles, CA 90095
  • Reassigned Medicare billing, California enrollment
  • 92 clinicians in this Medicare group
Emergency Medical Services
8900 VAN WYCK EXPWY
Jamaica, NY 11418
  • Reassigned Medicare billing, New York enrollment
  • 738 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90404 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
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Rita Gordon's NPI number?

The NPI number for Rita Gordon is 1477923076. It was assigned to this individual provider in the NPPES registry on September 25, 2015.

Where is Rita Gordon located?

Rita Gordon practices at 1245 16th St Ste 312, Santa Monica, CA 90404. The listed phone number is (310) 794-7274.

What is Rita Gordon's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Is Rita Gordon enrolled in Medicare?

Yes. Rita Gordon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Rita Gordon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rita Gordon reassigns Medicare benefits to 2 organizations: The Regents Of The University Of California (Los Angeles, CA) and Jamaica Hospital (Jamaica, NY). 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 Rita Gordon'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 Rita Gordon was last updated on May 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.