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DAVID SCOTT GORDON PHD
NPI 1841318045
Psychologist - Clinical in Los Angeles, CA

Active since March 26, 2007PECOS Enrolled
12304 SANTA MONICA BLVD, #211, LOS ANGELES, CA 90025(310) 207-3778 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About David Scott Gordon Phd NPPES

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

DAVID SCOTT GORDON PHD (NPI 1841318045) is an individual clinical provider in Los Angeles, California, licensed in California (PSY9769) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1841318045
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDAVID SCOTT GORDONCredential: PHD
Location Address12304 SANTA MONICA BLVD, #211Los Angeles, CA 90025-2587
Mailing Address12304 Santa Monica Blvd, #211Los Angeles, CA 90025-2587 · (310) 207-3778
Phone(310) 207-3778
Sole ProprietorNo
Enumeration DateMarch 26, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1841318045 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in CA · PSY9769
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
12304 SANTA MONICA BLVD, Los Angeles, CA 90025
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Other Identifiers 1

Medicare ID-Type UnspecifiedCP9769

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

David Scott Gordon Phd 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 90025 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
$187.60 typical visit price
range $62.96 – $187.60
Typical copayment $46.90 (range $15.74 – $46.90)
Most-billed visit code 99205
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.

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.

MS. DANIELLE JAGODA LMFT
Marriage & Family Therapist
12304 SANTA MONICA BLVD, SUITE 215
LOS ANGELES, CA 90025
Los Angeles County (310) 569-2302
DR. CARON M LEWIS PH.D.
Psychologist (Clinical)
12304 SANTA MONICA BLVD, SUITE 211
LOS ANGELES, CA 90025
Los Angeles County (310) 207-4774
RICHARD ALAN GOTTFRIED MFT
Counselor
12304 SANTA MONICA BLVD, SUITE 215
LOS ANGELES, CA 90025
Los Angeles County (310) 207-5177
MR. JOHN B CHEBULTZ M.A.
Specialist/Technologist
12304 SANTA MONICA BLVD, SUITE 300
W LOS ANGELES, CA 90025
Los Angeles County (310) 288-1650
JANICE STIMSON PSY.D., R.A.S.
Psychologist (Cognitive & Behavioral)
12304 SANTA MONICA BLVD, SUITE 200
WEST LOS ANGELES, CA 90025
Los Angeles County (310) 207-4322
BARBARA EILEEN MAY MBA, MA
Marriage & Family Therapist
12304 SANTA MONICA BLVD, SUITE 315
LOS ANGELES, CA 90025
Los Angeles County (424) 888-2757
MS. SABA HAROUNI
Marriage & Family Therapist
12304 SANTA MONICA BLVD, SUITE 327
LOS ANGELES, CA 90025
Los Angeles County (323) 388-5578
DEBORAH SHAMTOUB RBT
Behavior Technician
12304 SANTA MONICA BLVD
LOS ANGELES, CA 90025
Los Angeles County (310) 926-5753

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 David Gordon's NPI number?

The NPI number for David Gordon is 1841318045. It was assigned to this individual provider in the NPPES registry on March 26, 2007.

Where is David Gordon located?

David Gordon practices at 12304 Santa Monica Blvd #211, Los Angeles, CA 90025. The listed phone number is (310) 207-3778.

What is David Gordon's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is David Gordon enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for David Gordon was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.