IndividualActive
Ryan Gordon, SFIDC
NPI 1902238579 · Independent Duty Corpsman · San Diego, CA
Provider details
- NPI number
- 1902238579
- Entity type
- Individual
- Primary specialty
- Independent Duty CorpsmanOther Service Providers
- Credential
- SFIDC
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
3 documented practice locations
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
9955 Pomerado Rd Bldg 20300
San Diego, CA 92131-2041
Phone: (858) 537-8334
Street-level locationGet directions
Mailing address
9955 Pomerado Rd Bldg 20300
San Diego, CA 92131-2041
Additional practice locations (2)
- 3455 Senn RdSan Diego, CA 92136-5084Phone: (858) 663-2722
- 3455 Senn RdSan Diego, CA 92136-5084Phone: (858) 663-2722
Registry dates
- Enumerated
- 2013-08-06
- Last updated
- 2018-03-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.