Healthcare Provider Details

I. General information

NPI: 1053604108
Provider Name (Legal Business Name): JOSHUA ASHER GORDON MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/24/2011
Last Update Date: 02/28/2025
Certification Date: 02/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2299 POST ST STE 103
SAN FRANCISCO CA
94115-3443
US

IV. Provider business mailing address

2299 POST ST STE 103
SAN FRANCISCO CA
94115-3443
US

V. Phone/Fax

Practice location:
  • Phone: 415-923-0992
  • Fax: 415-923-1036
Mailing address:
  • Phone: 415-923-0992
  • Fax: 415-923-1036

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberMT199731
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberMT199731
License Number StatePA
# 3
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberA156227
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: