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DR. JAY N. GORDON M.D., F.A.A.P.
NPI 1952439341
Pediatrics in Santa Monica, CA

Active since February 28, 2007CLIA 05D2193966 · Waiver
901 MONTANA AVE, STE. C, SANTA MONICA, CA 90403(310) 393-9784(310) 393-0187 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jay N. Gordon M.d., F.a.a.p. NPPES

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

DR. JAY N. GORDON M.D., F.A.A.P. (NPI 1952439341) is an individual pediatrics provider in Santa Monica, California, licensed in California (G37508) and active in the NPI registry since February 2007. He holds a CLIA Waiver certificate valid through September 24, 2026.

NPPES Registry Identity

NPI1952439341
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. JAY N. GORDONCredential: M.D., F.A.A.P.
Location Address901 MONTANA AVE, STE. CSanta Monica, CA 90403-1544
Mailing Address901 Montana Ave, Ste. CSanta Monica, CA 90403-1544 · (310) 393-9784 · Fax (310) 393-0187
Phone(310) 393-9784
Fax(310) 393-0187
Sole ProprietorNo
Enumeration DateFebruary 28, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1952439341 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · G37508
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
901 MONTANA AVE, Santa Monica, CA 90403
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2193966

Jay N Gordon MD Faap · Santa Monica, CA
Active · expires Sep 24, 2026
CLIA Number05D2193966
Laboratory TypePhysician Office
Certificate Effective DateSeptember 25, 2024
Certificate Expiration DateSeptember 24, 2026
Laboratory DirectorJay N. Gordon
Laboratory Phone(310) 393-9784
Laboratory LocationJay N Gordon MD Faap501 10th St, Santa Monica, CA 90402
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

MRS. JENNIFER ARMER DAVIDSON RN IBCLC
Registered Nurse
901 MONTANA AVE, SUITE C
SANTA MONICA, CA 90403
Los Angeles County (310) 393-9784
LINDA R NUSSBAUM M.D.
Pediatrics
901 MONTANA AVE, SUITE C
SANTA MONICA, CA 90403
Los Angeles County (310) 393-9784
DR. ROBERT CURTIS DICKEY O.D.
Optometrist
901 MONTANA AVE, SUITE A
SANTA MONICA, CA 90403
Los Angeles County (310) 451-5741
JODY LAPPIN M.D.
Pediatrics
901 MONTANA AVE, SUITE C
SANTA MONICA, CA 90403
Los Angeles County (310) 393-9784

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 Jay Gordon's NPI number?

The NPI number for Jay Gordon is 1952439341. It was assigned to this individual provider in the NPPES registry on February 28, 2007.

Where is Jay Gordon located?

Jay Gordon practices at 901 Montana Ave Ste. C, Santa Monica, CA 90403. The listed phone number is (310) 393-9784.

What is Jay Gordon's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Jay Gordon hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2193966) is associated with this NPI, valid through September 24, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Jay 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.