DR. VICKI R GORDON MD PHD
NPI 1881613396
Internal Medicine in Crescent City, CA
About Dr. Vicki R Gordon Md Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. VICKI R GORDON MD PHD (NPI 1881613396) is an individual internal medicine provider in Crescent City, California, licensed in California (C127825) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Inglewood.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Vicki R Gordon Md Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Vicki Gordon reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Marysville, CA 95901
- Reassigned Medicare billing, California enrollment
- 918 clinicians in this Medicare group
Manteca, CA 95336
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Golden Valley Health Centers
- 440 clinicians in this Medicare group
Lancaster, CA 93535
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: County Of Los Angeles
- 435 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 95531 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
CRESCENT CITY, CA 95531
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 Vicki Gordon's NPI number?
The NPI number for Vicki Gordon is 1881613396. It was assigned to this individual provider in the NPPES registry on July 18, 2006.
Where is Vicki Gordon located?
Vicki Gordon practices at 550 E Washington Blvd, Crescent City, CA 95531. The listed phone number is (707) 496-5465.
What is Vicki Gordon's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Vicki Gordon enrolled in Medicare?
Yes. Vicki Gordon is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Vicki Gordon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Vicki Gordon reassigns Medicare benefits to 3 organizations: Regents Of The University Of California (Marysville, CA), Golden Valley Health Center (Manteca, CA) and County Of Los Angeles Auditor Controller (Lancaster, CA). 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 Vicki 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 Vicki Gordon was last updated on April 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Dr. Vicki R Gordon, MD PHD · NPI 1881613396
Internal Medicine physician in Crescent City, California. Individual provider, active in the CMS NPPES registry since July 18, 2006.
## Identity
- **NPI:** 1881613396 (Entity type: Individual)
- **Enumerated:** July 18, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** C127825 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 550 E WASHINGTON BLVD, Crescent City, CA 95531-8160
- **Phone:** (707) 496-5465
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Regents Of The University Of California (NPI 1578162632, Marysville, CA); Golden Valley Health Center (NPI 1477020121, Manteca, CA); County Of Los Angeles Auditor Controller (NPI 1366453045, Lancaster, CA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 20, 2020
- **Other identifiers:** Other 149719
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Source: [NPI Profile](https://npiprofile.com/npi/1881613396) · Data from the CMS NPPES public registry.