Dr. Richard S Gordon , MD
Specialist • Riverside, CA
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Richard Gordon has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Richard Gordon, MD was a registered Specialist practicing in Riverside, CA. Throughout an active medical career spanning 13 years, Dr. Gordon provided care at the practice location at 6180 BROCKTON AVE STE 204 until profile deactivation on 2018-10-16.
Practice Location & Contact Primary Location
6180 Brockton Ave Ste 204
Riverside, CA 925062233
Specialty Benchmarks & Practice Insights
Comparative analytics for Specialist in Riverside, CA
Practicing in Riverside, CA (6446 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 174400000X
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Specialist
Doctor of Medicine (M.D.)
Internal Medicine - Rheumatology
Doctor of Osteopathic Medicine (D.O.)
Internal Medicine - Rheumatology
Doctor of Medicine (M.D.)
Family Medicine
Family Nurse Practitioner (Certified)
Internal Medicine - Rheumatology
Doctor of Medicine (M.D.)
Internal Medicine
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on October 16, 2018
NPI status registered as active in NPPES database
Registered at 6180 BROCKTON AVE STE 204, RIVERSIDE, CA 925062233 (Tel: 9517817700)
Registered at 6180 BROCKTON AVE STE 204, RIVERSIDE, CA 925062233 (Tel: 9517817700)
Recorded as RICHARD GORDON, M.D.
Specialist (License #G11552 in CA)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
6180 Brockton Ave Ste 204
Riverside, CA 925062233
Phone: 9517817700
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