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MR. KEVIN DARELLE GORDON NP
NPI 1942895925
Nurse Practitioner in Sacramento, CA

Active since March 02, 2021
10385 OLD PLACERVILLE RD, SACRAMENTO, CA 95827(916) 448-1770 Get Directions Write a Review

NPPES record last updated: March 2, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Kevin Darelle Gordon Np NPPES

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

MR. KEVIN DARELLE GORDON NP (NPI 1942895925) is an individual nurse practitioner in Sacramento, California, licensed in California (95015623) and active in the NPI registry since March 2021.

NPPES Registry Identity

NPI1942895925
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameMR. KEVIN DARELLE GORDONCredential: NP
Location Address10385 OLD PLACERVILLE RDSacramento, CA 95827-2506
Mailing Address9554 Tarbert DrElk Grove, CA 95758-4478 · (404) 384-0439
Phone(916) 448-1770
Sole ProprietorYes
Enumeration DateMarch 2, 2021
NPPES CertifiedMarch 2, 2021
✔ NPI 1942895925 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CA · 95015623
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
10385 OLD PLACERVILLE RD, Sacramento, CA 95827
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Other Names 1

Professional Name (2)Kevin Darelle Gordon Np

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ZEYERUSALEM WOLDESILASSE
Nurse Practitioner (Primary Care)
10385 OLD PLACERVILLE RD
SACRAMENTO, CA 95827
Sacramento County (916) 448-1770
ARSHDEEP KAUR
Physician Assistant
10385 OLD PLACERVILLE RD
SACRAMENTO, CA 95827
Sacramento County (916) 448-1770

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 Kevin Gordon's NPI number?

The NPI number for Kevin Gordon is 1942895925. It was assigned to this individual provider in the NPPES registry on March 2, 2021. The provider is also known as Kevin Darelle Gordon Np.

Where is Kevin Gordon located?

Kevin Gordon practices at 10385 Old Placerville Rd, Sacramento, CA 95827. The listed phone number is (916) 448-1770.

What is Kevin Gordon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Kevin Gordon was last updated on March 2, 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.