MRS. DANIELLE ALEXIS GORDON (NPI# 1780148056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780148056 |
| Entity Type | Individual |
| Full Name | MRS. DANIELLE ALEXIS GORDON |
| Credential | FNP |
| Practice Address |
705 Palm Ave Imperial Beach CA 91932-1229 |
| Mailing Address |
1244 El Cortez Ct Chula Vista CA 91910-8186 |
| Practice Telephone | 6194233774 |
| Mailing Telephone | 9046312880 |
| Enumeration Date | 2019-01-30 |
| Last Update Date | 2020-05-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 95010963 | CA | Allopathic & Osteopathic Physicians |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
NP95010963 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5952 El Cajon Blvd, San Diego, CA 921153828 | 6192298030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740849421 | Danielle Gordon | Behavioral Analyst | 8006 Albin Ln, Houston, TX 77071-2007 | 2019-06-06 |
| 1598220386 | Danielle S Gordon | Counselor | 29997 Valley Side Dr, Farmington Hills, MI 48334-2067 | 2019-02-05 |
| 1306353297 | Danielle M Gordon | Student in an Organized Health Care Education/Training Program | 2214 Santa Clara Ave, Alameda, CA 94501-4417 | 2018-01-02 |
| 1598377780 | Danielle Gordon | Physical Therapist | 351 Hospital Rd Ste 7, Newport Beach, CA 92663-3504 | 2020-08-19 |
| 1184250896 | Danielle Joy Gordon | Student in an Organized Health Care Education/Training Program | 450 Clarkson Ave, Brooklyn, NY 11203-2012 | 2020-03-14 |
| 1982189130 | Danielle Annetta Gordon | Social Worker | 807 Lawn Ave, Sellersville, PA 18960-1549 | 2018-10-03 |
| 1225514979 | Danielle Kaitlin Gordon | Student in an Organized Health Care Education/Training Program | 333 S Beaudry Ave, Los Angeles, CA 90017-1466 | 2018-07-16 |
| 1477087864 | Danielle Gordon | Student in an Organized Health Care Education/Training Program | 3600 Forbes Ave Ste 140, Pittsburgh, PA 15213-3410 | 2017-04-12 |
| 1952625022 | Danielle Nicole Gordon | Pharmacist | 1275 York Ave, New York, NY 10065-6007 | 2010-03-18 |
| 1760661813 | Danielle D Gordon | Dentist | 450 New Market Blvd Ste 4, Boone, NC 28607-5501 | 2007-10-25 |
| Street Address |
705 PALM AVE |
| City | IMPERIAL BEACH |
| State | CA |
| Zip Code | 91932-1229 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649364720 | Parmela Sawhney | Family Medicine | 705 Palm Ave, Imperial Beach, CA 91932-1229 | 2006-10-03 |
| 1114329612 | Paris Kantas | Nurse Practitioner | 705 Palm Ave, Imperial Beach, CA 91932-1229 | 2014-09-16 |
| 1497051429 | Lisa George | Nurse Practitioner | 705 Palm Ave, Imperial Beach, CA 91932-1229 | 2011-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962994525 | Seacoast Behavior, LLC | Behavioral Analyst | 536 Shorebird Way, Imperial Beach, CA 91932 | 2018-05-30 |
| 1508363391 | M Mallempalli Professional Dental Corporation | Dentist | 600 Palm Ave., Suite#116, Imperial Beach, CA 91932 | 2018-04-09 |
| 1013440502 | Marice Angelic Dominguez | Respiratory Therapist, Registered | 1021 Elder Ave, Imperial Beach, CA 91932 | 2017-04-11 |
| 1003277856 | Samuel Wood | Registered Nurse | 803 Grove Ave, Imperial Beach, CA 91932 | 2016-03-08 |
| 1992033427 | Kathleen Helen Austin | Registered Nurse | 785 8th St, Imperial Beach, CA 91932 | 2009-11-20 |
| 1538365549 | Dorothy Mae Rumsey | Marriage & Family Therapist | 1237 East Lane, Imperial Beach, CA 91932 | 2007-06-26 |
| 1427062918 | Vernon Greg Phillips | Family Medicine | 707 Palm Ave, Imperial Beach, CA 91932 | 2006-07-28 |
| 1164489662 | Ralph Edwin Tuttle | Family Medicine | Comncwgruone, Nolf Ib Bldg 184, San Diego, CA 91932 | 2006-04-27 |
| 1154306231 | Solara Medical Supplies, LLC | Durable Medical Equipment & Medical Supplies | 720 Hwy 75, Imperial Beach, CA 91932 | 2005-12-12 |
| 1720283211 | Fabiola Del Aguila | Psychologist | 949 Palm Ave, Imperial Beach, CA 91932 | 2007-06-15 |
| Find all providers in zip 91932 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669848743 | Michael David Winstead | Nurse Practitioner | 1271 California St, Imperial Beach, CA 91932-3213 | 2015-08-12 |
| 1467425587 | Donna Michelle Plourd | Nurse Practitioner | 949 Palm Ave, Imperial Beach, CA 91932-1503 | 2006-02-09 |
| 1356841506 | Heather Ann Roberts Calzada | Nurse Practitioner | 949 Palm Ave, Imperial Beach, CA 91932-1503 | 2018-02-14 |
| 1649720756 | Francesca O'brien | Nurse Practitioner | 949 Palm Ave, Imperial Beach, CA 91932-1503 | 2016-10-12 |
| 1851768667 | Samantha R Chambers | Nurse Practitioner | 1271 California St, Imperial Beach, CA 91932-3213 | 2015-08-27 |
| 1114329612 | Paris Kantas | Nurse Practitioner | 705 Palm Ave, Imperial Beach, CA 91932-1229 | 2014-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962003640 | Samira Kadri | Nurse Practitioner | 431 S Burnside Ave Apt 3g, Los Angeles, CA 90036-5343 | 2020-11-08 |
| 1801497706 | Ana Maria Cajigas De Jesus | Nurse Practitioner | 313 S Velva Pl, Anaheim, CA 92804-2647 | 2020-11-06 |
| 1609477421 | Taylor Mcknight | Nurse Practitioner | 5073 Oxford Dr, Cypress, CA 90630-3653 | 2020-11-06 |
| 1619578465 | Roslyn Dykes-barrow | Nurse Practitioner | 17631 Mulberry Dr, Carson, CA 90746-7403 | 2020-11-06 |
| 1861093601 | Philana P Mcdonald | Nurse Practitioner | 183 Stonebridge Ln, Paso Robles, CA 93446-1926 | 2020-11-06 |
| 1386245264 | Annie Parikh | Nurse Practitioner | 11675 Lambert Ave, El Monte, CA 91732-1955 | 2020-11-05 |
| 1073114096 | Blanca De Jesus Serrano | Nurse Practitioner | 18144 Outer Hwy 18 Ste 200, Apple Valley, CA 92307-2212 | 2020-11-05 |
| 1578164166 | Aimon Sangwanpanich | Nurse Practitioner | 8520 Shirley Ave, Northridge, CA 91324-4149 | 2020-11-02 |
| 1043810757 | Casie Lee Mcguire | Nurse Practitioner | 1826 Rainbow Terrace Ln, Montebello, CA 90640-1953 | 2020-10-30 |
| 1295335099 | Jail Lopez | Nurse Practitioner | 3171 Lynwood Rd, Lynwood, CA 90262-4118 | 2020-10-29 |
| Find all providers with the same taxonomy | ||||
| City | IMPERIAL BEACH |
| Zip Code | 91932 |
Please comment or provide details below to improve the information on MRS. DANIELLE ALEXIS GORDON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.