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DR. JEOFFRY BRUCE GORDON MD
NPI 1649263682
Family Medicine in San Diego, CA

Active since August 24, 2005PECOS Enrolled
1947 CABLE ST, SAN DIEGO, CA 92107(619) 223-7164(619) 223-5443 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Jeoffry Bruce Gordon Md NPPES

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

DR. JEOFFRY BRUCE GORDON MD (NPI 1649263682) is an individual family medicine provider in San Diego, California, licensed in California (G19279) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649263682
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JEOFFRY BRUCE GORDONCredential: MD
Location Address1947 CABLE STSan Diego, CA 92107-2807
Mailing Address823 Gateway Center WaySan Diego, CA 92102-4541 · (619) 525-2300 · Fax (619) 906-4564
Phone(619) 223-7164
Fax(619) 223-5443
Sole ProprietorNo
Enumeration DateAugust 24, 2005
Last NPPES UpdateMarch 7, 2023
✔ NPI 1649263682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · G19279
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1947 CABLE ST, San Diego, CA 92107
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Other Identifiers 2

Medicaid00G192790CA
OtherG19279CA · Licence #

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. Jeoffry Bruce Gordon 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92107 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JOHN SCHILLER GILLICK MD, MPH
Anesthesiology (Pain Medicine)
1947 CABLE ST
SAN DIEGO, CA 92107
San Diego County (619) 223-1652
OCEAN BEACH MEDICAL GROUP
Non-Pharmacy Dispensing Site
1947 CABLE ST
SAN DIEGO, CA 92107
San Diego County (619) 223-7164
OCEAN BEACH MEDICAL GROUP
Family Medicine
1947 CABLE ST
SAN DIEGO, CA 92107
San Diego County (619) 223-7164

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 Jeoffry Gordon's NPI number?

The NPI number for Jeoffry Gordon is 1649263682. It was assigned to this individual provider in the NPPES registry on August 24, 2005.

Where is Jeoffry Gordon located?

Jeoffry Gordon practices at 1947 Cable St, San Diego, CA 92107. The listed phone number is (619) 223-7164.

What is Jeoffry Gordon's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jeoffry Gordon enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jeoffry Gordon was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.