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

Individual provider Family Nurse Practitioner · NPI 1104410885

Irina Gordon, RNMSNCWOCNFNP-C is a Nurse Practitioner in San Francisco, California. Qualified in 2025, 1 year ago. Practices with Harbor Wound Care P C, a 27-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
1
Licensed in
CA
In the registry since
2021
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Practice location Address checks out

1728 Divisadero St
San Francisco, CA 94115-3012
Phone: (415) 287-0859
Fax: (415) 599-8456
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95036640 (CA)

Record details

NPI number1104410885
Entity typeIndividual (Type 1)
GenderFemale
Credentials RNMSNCWOCNFNP-C
Sole proprietorNo
NPI enumeratedFebruary 24, 2021
Last updated in NPPESSeptember 29, 2025
Certification dateSeptember 29, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Harbor Wound Care P C — 27 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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