{"npi":"1912968041","type":"NPI-1","status":"active","name":{"display":"Dr. Anthony Gordon MD","other":[],"first":"ANTHONY","last":"GORDON","middle":"K","credential":"MD"},"specialty":{"primary_taxonomy":"2085R0202X","primary_taxonomy_description":"Diagnostic Radiology","slug":"diagnostic-radiology","schema_org_specialty":"Radiography","all":[{"code":"174400000X","description":"Specialist","primary":false,"state":"GA","license":"031432"},{"code":"2085R0202X","description":"Diagnostic Radiology","primary":true,"state":"CA","license":"G59522"}]},"addresses":[{"purpose":"LOCATION","street_1":"165 ROWLAND WAY STE 208","city":"NOVATO","state":"CA","postal_code":"94945","country_code":"US","phone":"4154294225","fax":"4152026228"},{"purpose":"MAILING","street_1":"165 ROWLAND WAY STE 208","city":"NOVATO","state":"CA","postal_code":"949455055","country_code":"US","phone":"4154294225","fax":"4152026228"}],"license":{"state":"CA","number":"G59522"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"000449765AA","state":"GA","issuer":null},{"type_code":"01","label":"Other","value":"202I300099","state":"GA","issuer":"MEDICARE PROVIDER FOR OMRIB"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20040525001162","type_code":"14-30","type_desc":"PRACTITIONER - DIAGNOSTIC RADIOLOGY","state":"GA","pac_id":"1759362908"},{"enrlmt_id":"I20180604002881","type_code":"14-30","type_desc":"PRACTITIONER - DIAGNOSTIC RADIOLOGY","state":"CA","pac_id":"1759362908"},{"enrlmt_id":"I20200121000439","type_code":"14-30","type_desc":"PRACTITIONER - DIAGNOSTIC RADIOLOGY","state":"TX","pac_id":"1759362908"}]},"enumeration_date":"2006-03-29","last_updated":"2020-05-08","_meta":{"source":"NPPES","snapshot_date":"2020-05-08","doc_url":"https://findmynpi.com/api"}}