What is Gordon Lake's NPI number?

Gordon Lake's National Provider Identifier (NPI) is 1356379838, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Gordon Lake's specialty?

Gordon Lake is listed in the NPPES registry with a primary specialty of Adult Medicine Physician (Allopathic & Osteopathic Physicians).

Where is Gordon Lake located?

Gordon Lake's practice location on file with NPPES is 350 30th Street, Suite 407, Oakland, CA 94609.

What is Gordon Lake's phone number?

The practice phone number listed in the NPPES registry for Gordon Lake is (510) 419-0230.

Is Gordon Lake's NPI active?

Yes — Gordon Lake's NPI (1356379838) is active in the NPPES registry as of the last update on 2016-01-19.

IndividualActive

Gordon Lake, MD

NPI 1356379838 · Adult Medicine Physician · Oakland, CA

Gordon Lake, MD is a Adult Medicine Physician provider in Oakland, CA (NPI 1356379838).

Provider details

NPI number: 1356379838
Entity type: Individual
Primary specialty: Adult Medicine PhysicianAllopathic & Osteopathic Physicians
Credential: MD
Sex: Male
Sole proprietor: Yes
License: G22921 (CA)

Specialties & taxonomies

Adult Medicine PhysicianPrimary207QA0505XLicense G22921 (CA)
Allopathic & Osteopathic Physicians

Profile Score

Detailed profile(91/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
19 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

350 30th Street, Suite 407

Oakland, CA 94609

Phone: (510) 419-0230

Fax: (510) 419-0273

Street-level locationGet directions

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Mailing address