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

Dr. Keith L Gordon III, MD

Individual provider Psychiatry Physician · NPI 1053473629

Dr. Keith L Gordon III, MD is a Psychiatry in Colton, California. Qualified in 1983, 43 years ago. Practices with Cep America - Psychiatry PC, a 92-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
43
Licensed in
CA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

400 N Pepper Ave
Colton, CA 92324-1801
Phone: (909) 580-3830
Fax: (909) 580-3814
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence A42732 (CA)

Record details

NPI number1053473629
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedDecember 13, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 1983 (43 years in practice)
Group practice Cep America - Psychiatry Pc — 92 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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