RYAN JAMES GORDON SFIDC
NPI 1902238579
Military Health Care Provider - Independent Duty Corpsman in San Diego, CA

Q: What is Ryan Gordon's NPI number?

The NPI number for Ryan Gordon is 1902238579. It was assigned to this individual provider in the NPPES registry on August 6, 2013.

Q: What is Ryan Gordon's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

Q: When was this NPI record last updated?

The NPPES record for Ryan Gordon was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since August 06, 2013

9955 POMERADO RD BLDG 20300, SAN DIEGO, CA 92131(858) 537-8334 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 17, 2018, Oct 26, 2017 (2 updates tracked since 2017).

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About Ryan James Gordon Sfidc NPPES

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

RYAN JAMES GORDON SFIDC (NPI 1902238579) is an individual independent duty corpsman provider in San Diego, California and active in the NPI registry since August 2013. He maintains a secondary practice location in San Diego.

NPPES Registry Identity

NPI1902238579

Entity TypeIndividualMale

Primary Taxonomy1710I1002X

Provider Legal NameRYAN JAMES GORDONCredential: SFIDC

Location Address9955 POMERADO RD BLDG 20300San Diego, CA 92131-2041

Mailing Address9955 Pomerado Rd Bldg 20300San Diego, CA 92131-2041

Phone(858) 537-8334

Sole ProprietorNo

Enumeration DateAugust 6, 2013

Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration

✔ NPI 1902238579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary Health Care Provider · Independent Duty CorpsmanOther Service Providers

Taxonomy Code1710I1002X

Definition

A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.

9955 POMERADO RD BLDG 20300, San Diego, CA 92131

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Secondary Practice Location 1

Location 13455 Senn RdSan Diego, CA 92136-5084 · Phone (858) 663-2722

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 Ryan Gordon's NPI number?

The NPI number for Ryan Gordon is 1902238579. It was assigned to this individual provider in the NPPES registry on August 6, 2013.

Where is Ryan Gordon located?

Ryan Gordon practices at 9955 Pomerado Rd Bldg 20300, San Diego, CA 92131. The listed phone number is (858) 537-8334.

What is Ryan Gordon's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

When was this NPI record last updated?

The NPPES record for Ryan Gordon was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.