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

Mr. Charles Albert Gordon, MD

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1821103631

Mr. Charles Albert Gordon, MD is a Physical Medicine and Rehabilitation in Los Angeles, California. Graduated from University of California, San Diego School of Medicine in 1997, 29 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
29
Trained at
University of California, San Diego School of Medicine
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

1059 S Fairfax Ave
Los Angeles, CA 90019-4402
Phone: (310) 600-0896
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence A66858 (CA)

Record details

NPI number1821103631
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 20, 2006
Last updated in NPPESNovember 18, 2021
Certification dateNovember 18, 2021

Medicare enrollment

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

Medicare specialtyPHYSICAL MEDICINE AND REHABILITATION
Medical schoolUNIVERSITY OF CALIFORNIA, SAN DIEGO SCHOOL OF MEDICINE
Graduated 1997 (29 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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