JOSH L. GORDON (M.D.) – Pediatric Anesthesiology Physician, NPI 1770513798

JOSH L. GORDON (M.D.) is a healthcare provider. based in San diego, California. specializing in ANESTHESIOLOGY. They hold the professional credentials M.D.. They hold a License No. G83917 (CA). The NPI Number for JOSH L. GORDON (M.D.) is 1770513798

Main info

Male
34 Years Of Experience
Accepts Medicare Assignment
Name
JOSH L. GORDON (M.D.)
NPI
1770513798
Phone
(858) 565-9666
Address
3626 RUFFIN RD
Enumeration Date
4 July 2006
Last Update Date
5 December 2007

Doctor Profile

Medical School Name
UNIFORMED SERVICES UHS FE HEBERT SCHOOL OF MED
Secondary Phone
5032161234
Graduation Year
1992 (34 years ago)
PAC ID
6709825128
Group Practice PAC ID
6800240102
Professional Enrollment ID
I20240219001631
Address ID
OR972256603PO9205XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

6,371 ANESTHESIOLOGY in CA

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Provider Addresses for JOSH L. GORDON (M.D.)

  • 3626, Ruffin Road, San Diego, San Diego County, California, 92123, United States

    SAN DIEGO, CA 921231810

    Phone: (858) 565-9666

    Fax: (858) 565-9441

    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)

CMS reports 2 Open Payments records for all available years, with a total value of $186.

Total Amount is formed as General ($186) + Research ($0) + Ownership ($0) = $186.

Last reported payment date: 2023-10-11 • Largest payer in this snapshot: United Therapeutics Corporation ($186).

Total Amount

$186

General + Research + Ownership

Payments

2

Total payment records

General Amount

$186

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-11

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2024-02-19

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
I20240219001631IAnesthesiologyORTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00104Anesthesia for electroshock therapy7542$0
View full utilization report →

Insurance plans in this area (ZIP 92123)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6800240102View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YTX
Anesthesiology, Critical Care (Intensivists)OR
Certified Registered Nurse Anesthetist (Crna)WI
A N E S T H E S I O L O G YOR
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)OR
A N E S T H E S I O L O G YWA
Certified Registered Nurse Anesthetist (Crna)OR
A N E S T H E S I O L O G YCA
A N E S T H E S I O L O G YKY

Reviews

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Frequently asked questions

Is JOSH L. GORDON (M.D.) listed with a National Provider Identifier?
Yes — JOSH L. GORDON (M.D.) has NPI 1770513798 on file in the registry.
Is there an active status for JOSH L. GORDON (M.D.)?
For scheduling context, JOSH L. GORDON (M.D.) is shown as active in the registry.
What area of care is associated with JOSH L. GORDON (M.D.)?
JOSH L. GORDON (M.D.)'s record emphasizes Pediatric Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
Is JOSH L. GORDON (M.D.) located near San Diego?
JOSH L. GORDON (M.D.) currently maps to San Diego, California in this extract.
When was this NPI issued?
Enumeration for JOSH L. GORDON (M.D.) is noted as July 4, 2006 where the registry provides it.

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