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Dr. Kimberly Ruth Gordacan

Neurology

2050 W Steele Ln Ste A2
Santa Rosa , California 95403-3402

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Image

Dr. Kimberly Ruth Gordacan

Neurology

2050 W Steele Ln Ste A2
Santa Rosa , California 95403-3402

(707) 571-0320

Write a Review Save Call

Dr. Kimberly Ruth Gordacan

Neurology

2050 W Steele Ln Ste A2
Santa Rosa , California 95403-3402

(707) 571-0320 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Neurology

Languages spoken

  • English

Location

2050 W Steele Ln Ste A2 Santa Rosa , California 95403-3402

First Address

  • Dr. Kimberly Ruth Gordacan
  • 2050 W Steele Ln Ste A2
  • Santa Rosa, CA
  • Zip : 95403-3402
  • Fax : (707) 571-0320
  • Phone : (707) 571-0393

Second Address

  • Dr. Kimberly Ruth Gordacan
  • 2050 W Steele Ln Ste A2
  • Santa Rosa, CA
  • Zip : 95403-3402
  • Fax : (707) 571-0320
  • Phone : (707) 571-0393

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FAQs


Where did Dr. Kimberly Ruth Gordacan attend graduate school?

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Where did Dr. Kimberly Ruth Gordacan do her residency?

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Where did Dr. Kimberly Ruth Gordacan do her fellowship?

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Is Dr. Kimberly Ruth Gordacan board certified?

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What type of doctor is Dr. Kimberly Ruth Gordacan

Neurology

In what state does Dr. Kimberly Ruth Gordacan practice in?

California

Where is Dr. Kimberly Ruth Gordacan ’s practice located?

2050 W Steele Ln Ste A2 , Santa Rosa, California, 95403-3402

What is Dr. Kimberly Ruth Gordacan ’s gender?

Female

Is Dr. Kimberly Ruth Gordacan a sole practitioner?

No

Is Dr. Kimberly Ruth Gordacan accepting new patients?

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What languages does Dr. Kimberly Ruth Gordacan speak?

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Does Dr. Kimberly Ruth Gordacan accept insurance?

Yes, Dr. Kimberly Ruth Gordacan accepts insurance

Does Dr. Kimberly Ruth Gordacan offers telemedicine?

Dr. Kimberly Ruth Gordacan has not indicated if she offers telemedicine

What is Dr. Kimberly Ruth Gordacan ’s professional license number?

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What is Dr. Kimberly Ruth Gordacan ’s NPI number?

1770786030

Does Dr. Kimberly Ruth Gordacan have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 111NN0400X Neurology 17362 CA

National Provider Identifier

NPI 1770786030
Provider Name Dr. Kimberly Ruth Gordacan
First Address Santa Rosa, CA 95403-3402
Second Address Santa Rosa, CA 95403-3402
Gender F
NPI Entity type Individual
Is Sole Proprietor Yes
Is Organization Subpart N/A
Enumeration Date 06/06/2007
Last Update Date 08/07/2007

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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