MR. PETER MICHAEL GORDON (NPI# 1932244662) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1932244662 |
Entity Type | Individual |
Full Name | MR. PETER MICHAEL GORDON |
Credential | MA - MFT |
Practice Address |
4030 E Broadway Long Beach CA 90803-1502 |
Mailing Address |
3317 E Colorado St Long Beach CA 90814-2606 |
Practice Telephone | 5628269009 |
Practice Fax Number | 5629873538 |
Mailing Telephone | 5628269009 |
Enumeration Date | 2007-02-20 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
MFC39863 | CA | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568745677 | Peter F Gordon | Family Medicine | Avenida Los Tules 116, Int 14, Colonia Diaz Ordaz, Puerto Vallarta, JALISCO 48310 | 2011-09-25 |
1154316230 | Peter Eliot Gordon | Emergency Medicine | 218 Baltic St, Brooklyn, NY 11201-6620 | 2005-09-15 |
1558565085 | Peter M Gordon | Pediatrics | 300 Longwood Ave, Boston, MA 02115-5724 | 2007-06-11 |
1093838856 | Peter Gregory Gordon | Internal Medicine | 622 W 168th St, New York, NY 10032-3720 | 2007-04-09 |
1205956109 | Peter Gordon | Physical Therapist | 349 W Commercial St, Ste 1275, E Rochester, NY 14445-2407 | 2007-04-02 |
1114070349 | Peter G Gordon | Dentist | 23300 Chagrin Blvd, G-10, Beachwood, OH 44122-5557 | 2007-01-19 |
1568540342 | Peter W. Gordon | Internal Medicine | 280 W Macarthur Blvd, Oakland, CA 94611-5642 | 2006-11-01 |
1679525141 | Peter H Gordon | Radiology | 235 N Pearl St, Radiology Department, Brockton, MA 02301-1794 | 2006-05-16 |
1831158955 | Peter T Gordon | Internal Medicine | 259 Main St, Yarmouth, ME 04096-6723 | 2006-03-18 |
1992706683 | Peter Alfred Gordon | Ophthalmology | 1457 Scott Blvd, Decatur, GA 30030-1705 | 2005-08-03 |
Street Address |
4030 E BROADWAY |
City | LONG BEACH |
State | CA |
Zip Code | 90803-1502 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720283252 | Amie Lowery-luyties | Marriage & Family Therapist | 4030 E Broadway, Long Beach, CA 90803-1502 | 2007-06-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568011377 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 6440 E. Pacific Coast Highway, Space B-165, Long Beach, CA 90803 | 2019-09-05 |
1518426931 | Quashanika Marin | Behavior Technician | 55555 Anton Blvd, Costa Mesa, CA 90803 | 2019-03-15 |
1629569405 | Shiori Koga Lange | Social Worker | 6615 E Pacific Coast Hwy Ste 225, Long Beach, CA 90803 | 2018-05-29 |
1083117832 | Amos Hirsh | Specialist/Technologist | 3409 E 1st St., B, Long Beach, CA 90803 | 2018-03-16 |
1972029130 | Lilia Bolgov | Dietitian, Registered | 3528 E 2nd St, Apt 1, Long Beach, CA 90803 | 2017-08-19 |
1669907523 | Ashley Clary | Substance Abuse Rehabilitation Facility | 6621 Pacific Coast Highway, Long Beach, CA 90803 | 2017-04-27 |
1629438247 | Victoria Nguyen Dental Corporation | Dentist | 6437 E. Pacific Coast Highway, Unit A-6, Long Beach, CA 90803 | 2016-02-24 |
1548633829 | Anne Yeakel | Chiropractor | 6234 E Pacific Coast Hwy, Unit C, Long Beach, CA 90803 | 2015-11-09 |
1376921023 | Lauren Katherine Mills | Registered Nurse | 6000 Bixby Village Drive #5, Long Beach, CA 90803 | 2015-05-14 |
1205173317 | Richard Stuart Egan | Otolaryngology | 310 Blue Cavern Point, Long Beach, CA 90803 | 2013-01-09 |
Find all providers in zip 90803 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346851888 | Summer V Vilkins | Counselor | 269 Kennebec Ave Apt 3, Long Beach, CA 90803-5772 | 2020-08-10 |
1346875085 | Cherrie-ann K Simon | Counselor | 3503 Linden Ave Apt 207, Long Beach, CA 90807-4532 | 2020-03-03 |
1679119507 | Melissa Ann Aguilar | Counselor | 20 W Park Ave Ste 306, Long Beach, NY 11561-2019 | 2019-11-26 |
1073154928 | Makando Mutanda | Counselor | 161 West Victoria St., Long Beach, CA 90805 | 2019-10-02 |
1477104065 | Sok Khen Kim | Counselor | 841 Gardenia Ave Apt 201, Long Beach, CA 90813-5935 | 2019-09-25 |
1174172431 | Sari Klar Mental Health Counseling P.C. | Counselor | 370 W Broadway Apt 6y, Long Beach, NY 11561-3959 | 2019-09-10 |
1073175881 | David Coleman | Counselor | 735 West 4th St, Unit D, Long Beach, CA 90802 | 2019-07-01 |
1265094155 | Subha Smith | Counselor | 440 E Freeland St Apt 1, Long Beach, CA 90807-2128 | 2019-07-01 |
1750941688 | Chanel Samantha Simpson | Counselor | 920 Atlantic Ave Ste 101, Long Beach, CA 90813-4592 | 2019-06-13 |
1801455696 | Linda Dianne Ensch | Counselor | 1517 Pacific Ave N, Long Beach, WA 98631-3596 | 2019-06-06 |
Find all providers in LONG BEACH |
City | LONG BEACH |
Zip Code | 90803 |
Please comment or provide details below to improve the information on MR. PETER MICHAEL 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.