Rachael Gordon, PMHNP - Nurse Practitioner in San Jose, CA

Rachael Gordon, PMHNP is a Nurse Practitioner - Psychiatric/mental Health based in San Jose, California. Rachael Gordon is licensed to practice in Oregon (license number 202108915NP-PP) and her current practice location is 6276 San Ignacio Ave Ste A, San Jose, California. She can be reached at her office (for appointments etc.) via phone at (541) 313-3617.

NPI number for Rachael Gordon is 1306327507 and her current mailing address is 1104 E Jackson St, Medford, Oregon. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1306327507.

Contact Information

Rachael Gordon, PMHNP
6276 San Ignacio Ave Ste A,
San Jose, CA 95119-1363
(541) 313-3617
(769) 235-0747

Map and Direction




Provider's Profile

Full NameRachael Gordon
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location6276 San Ignacio Ave Ste A, San Jose, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1306327507
  • Provider Enumeration Date: 08/24/2018
  • Last Update Date: 09/10/2026

Medical Identifiers

Medical identifiers for Rachael Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306327507NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WP0808XRegistered Nurse - Psychiatric/mental Health 95042892 (California)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 202108915NP-PP (Oregon)Primary
363LP0808XNurse Practitioner - Psychiatric/mental Health 95013365 (California)Secondary

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. Rachael Gordon 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
Rachael Gordon, PMHNP
1104 E Jackson St,
Medford, OR 97504-7029

Ph: (541) 313-3617
Rachael Gordon, PMHNP
6276 San Ignacio Ave Ste A,
San Jose, CA 95119-1363

Ph: (541) 313-3617

Reviews and Comments


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