DR. VICKI R GORDON MD PHD
NPI 1881613396
Internal Medicine in Crescent City, CA

Active since July 18, 2006PECOS EnrolledAccepts Medicare Assignment
550 E WASHINGTON BLVD, CRESCENT CITY, CA 95531(707) 496-5465 Get Directions Write a Review

NPPES record last updated: April 20, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 20, 2020, Oct 8, 2018, Oct 5, 2018 and 2 more (5 updates tracked since 2016).

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, maintains a secondary practice location in Inglewood, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (1995).

NPPES Registry Identity

NPI1881613396
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. VICKI R GORDONCredential: MD PHD
Location Address550 E WASHINGTON BLVDCrescent City, CA 95531-8160
Mailing Address4182 W Broadway Apt BHawthorne, CA 90250-4092 · (310) 956-6842
Sole ProprietorYes
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 1995
Enumeration DateJuly 18, 2006
Last NPPES UpdateApril 20, 20205 updates tracked since enumeration
NPPES CertifiedApril 20, 2020
NPI 1881613396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in CA · C127825 Licensed in CA · 127825 Licensed in MI · 4301083013
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
550 E WASHINGTON BLVD, Crescent City, CA 95531

Secondary Practice Location 1

Location 1644 E REGENT ST, STE 105INGLEWOOD, CA 90301-1443 · Phone (310) 644-5055

Other Identifiers 1

Other149719Upin Number

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Vicki R Gordon Md Phd 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 ID2365458718
PECOS Enrollment IDI20150821014356, I20160321002259
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 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.

New Patient
$133.94 typical visit price
range $58.87 – $176.60
Typical copayment $33.48 (range $14.71 – $44.15)
Most-billed visit code 99204
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

Registered Nurse
550 E WASHINGTON BLVD
CRESCENT CITY, CA 95531
Registered Nurse
550 E WASHINGTON BLVD
CRESCENT CITY, CA 95531
Registered Nurse
550 E WASHINGTON BLVD, SUITE 100
CRESCENT CITY, CA 95531
Dentist
550 E WASHINGTON BLVD
CRESCENT CITY, CA 95531
Speech-Language Pathologist
550 E WASHINGTON BLVD, SUITE 200 BOX 8
CRESCENT CITY, CA 95531
Social Worker (Clinical)
550 E WASHINGTON BLVD
CRESCENT CITY, CA 95531
Internal Medicine
550 E WASHINGTON BLVD, SUITE 100
CRESCENT CITY, CA 95531
Nurse Practitioner (Family)
550 E WASHINGTON BLVD
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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

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.