Gordon Avery Lake, MD - Family Medicine in Oakland, CA

Gordon Avery Lake, MD is a Family Medicine - Adult Medicine physician based in Oakland, California. Gordon Avery Lake is licensed to practice in California (license number G22921) and his current practice location is 350 30th Street, Suite 407, Oakland, California. He can be reached at his office (for appointments etc.) via phone at (510) 419-0230.

NPI number for Gordon Avery Lake is 1356379838 and his current mailing address is 350 30th Street, Suite 407, Oakland, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1356379838.

Contact Information

Gordon Avery Lake, MD
350 30th Street, Suite 407,
Oakland, CA 94609
(510) 419-0230
(510) 419-0273

Map and Direction




Physician's Profile

Full NameGordon Avery Lake
GenderMale
SpecialityFamily Medicine - Adult Medicine
Location350 30th Street, Suite 407, Oakland, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1356379838
  • Provider Enumeration Date: 06/30/2006
  • Last Update Date: 01/19/2016

Medical Identifiers

Medical identifiers for Gordon Avery Lake such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356379838NPI-NPPES
00G229210MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207QA0505XFamily Medicine - Adult Medicine G22921 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Gordon Avery Lake is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Gordon Avery Lake, MD
350 30th Street, Suite 407,
Oakland, CA 94609

Ph: (510) 419-0230
Gordon Avery Lake, MD
350 30th Street, Suite 407,
Oakland, CA 94609

Ph: (510) 419-0230

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.