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ROBERT GORDON FNP-C
NPI 1821661489
Nurse Practitioner - Family in Los Angeles, CA

Active since July 21, 2021PECOS Enrolled
1540 N FULLER AVE APT 11, LOS ANGELES, CA 90046(213) 440-0353 Get Directions Write a Review

NPPES record last updated: July 21, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Robert Gordon Fnp-c NPPES

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

ROBERT GORDON FNP-C (NPI 1821661489) is an individual family provider in Los Angeles, California, licensed in California (95017845) and active in the NPI registry since July 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1821661489
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameROBERT GORDONCredential: FNP-C
Location Address1540 N FULLER AVE APT 11Los Angeles, CA 90046-7908
Mailing Address1540 N Fuller Ave Apt 11Los Angeles, CA 90046-7908 · (213) 440-0353
Phone(213) 440-0353
Sole ProprietorNo
Enumeration DateJuly 21, 2021
NPPES CertifiedJuly 21, 2021
✔ NPI 1821661489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95017845
1540 N FULLER AVE APT 11, Los Angeles, CA 90046
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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)

Robert Gordon Fnp-c 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 90046 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
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

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 Robert Gordon's NPI number?

The NPI number for Robert Gordon is 1821661489. It was assigned to this individual provider in the NPPES registry on July 21, 2021.

Where is Robert Gordon located?

Robert Gordon practices at 1540 N Fuller Ave Apt 11, Los Angeles, CA 90046. The listed phone number is (213) 440-0353.

What is Robert Gordon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Robert Gordon enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Robert Gordon was last updated on July 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.