Look up the most recent NPI and PECOS records

Joseph Lorn Gordon

Adult Companion

Nursing Service Related Providers

PECOS Enrollment

Based on the most recent information from CMS, provider Joseph Lorn Gordon does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1902543176
Provider Type
Individual
Full Name
Gordon, Joseph Lorn
Gender
Male

Sole Proprietor
No
Enumeration Date
5/18/2022
Last Updated
6/17/2025

Contact Information

Practice Location

121 Downey Ave, Modesto, CA 95354-1208

(209) 341-1824

Unlisted Fax

Mailing Location

121 Downey Ave, Modesto, CA 95354-1208

(209) 341-1824

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 372600000X Primary	Description Adult Companion Nursing Service Related Providers	License Unlisted Issuer
Code 101YA0400X	Description Counselor Behavioral Health & Social Service Providers	License SUDRC12754 California
Code 390200000X	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer

Joseph Lorn Gordon

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Fuentes, Elizabeth

Raygoza, Regina

Salcedo Valdez, Cecilia

King, Alicia Angela

Lorenzo, Kelly

Kumar, Amol

Delaney, Aileen

Lovato, Jessica

Espinoza, Anna Karen

Salazar Gerardo, Dora Gabriela