Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Brian Joanem Gordillo

Individual provider Physician Assistant · NPI 1336846161

Brian Joanem Gordillo is a Physician Assistant in Sacramento, California. Qualified in 2023, 3 years ago. Practices with Clinic Services of California Medical Group Inc, a 66-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
3
Licensed in
CA
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

2570 48th St
Sacramento, CA 95817-1541
Phone: (916) 734-2145
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (CA)
Physician Assistant Taxonomy 363A00000X · Licence 63698 (CA)

Record details

NPI number1336846161
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 13, 2023
Last updated in NPPESApril 24, 2024
Certification dateApril 24, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Clinic Services Of California Medical Group Inc — 66 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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