MR. GORDON VAL WHITE (PH D) – Psychologist, NPI 1700981263

MR. GORDON VAL WHITE (PH D) is a healthcare provider. based in Oceanside, California. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PH D. They hold a License No. PSY4394 (CA). The NPI Number for MR. GORDON VAL WHITE (PH D) is 1700981263

Main info

Male
Sole Proprietor
54 Years Of Experience
Accepts Medicare Assignment
Name
MR. GORDON VAL WHITE (PH D)
NPI
1700981263
Phone
(760) 439-0911
Address
2101 EL CAMINO REAL
Enumeration Date
13 September 2006
Last Update Date
5 November 2012

Doctor Profile

Medical School Name
UNIVERSITY OF ARIZONA COLLEGE OF MEDICINE
Secondary Phone
7604390911
Graduation Year
1972 (54 years ago)
PAC ID
0941195655
Professional Enrollment ID
I20040219001018
Address ID
CA920546247OC2101XREAL501
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

4,434 CLINICAL PSYCHOLOGIST in CA

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Provider Addresses for MR. GORDON VAL WHITE (PH D)

  • El Camino Real, Oceanside, San Diego County, California, 92008, United States

    SUITE 203

    OCEANSIDE, CA 92054

    Phone: (760) 439-0911

    Fax: (760) 439-0714

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-02-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040219001018IClinical PsychologistCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 92054)

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Reviews

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Frequently asked questions

What unique ID ties claims to MR. GORDON VAL WHITE (PH D)?
NPI 1700981263 is assigned to MR. GORDON VAL WHITE (PH D) under the national enumeration system.
Is MR. GORDON VAL WHITE (PH D) active in the national directory?
MR. GORDON VAL WHITE (PH D)'s public NPI profile is in an active state.
What does MR. GORDON VAL WHITE (PH D) treat or focus on?
Patients typically see MR. GORDON VAL WHITE (PH D) under the specialty Psychologist. Clinical services aligned with this taxonomy classification.
Where does public data place MR. GORDON VAL WHITE (PH D)?
The snapshot lists Oceanside, California for MR. GORDON VAL WHITE (PH D); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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