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

Mrs. Danielle Alexis Gordon, FNP

Individual provider Family Medicine Physician · NPI 1780148056

Mrs. Danielle Alexis Gordon, FNP is a Nurse Practitioner in Imperial Beach, California. Qualified in 2018, 8 years ago. Practices with Innovative Wellness Clinic Inc a Nursing Corporation, a 3-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
8
Licensed in
CA
In the registry since
2019
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

705 Palm Ave
Imperial Beach, CA 91932-1229
Phone: (619) 423-3774
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5952 El Cajon Blvd, San Diego, CA 92115-3828 — (619) 229-8030

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence NP95010963 (CA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 95010963 (CA)

Record details

NPI number1780148056
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedJanuary 30, 2019
Last updated in NPPESMay 12, 2020
Certification dateMay 12, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Innovative Wellness Clinic Inc A Nursing Corporation — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Imperial Beach