Gordon Donald Lewis, B.S.
Rehabilitation Practitioner in Oakland, CA. Individual provider (NPI-1).
NPI number1437397635
StatusActive
Last updated in NPPESAug 13, 2025
Details
- NPI
- 1437397635
- Entity type
- Individual (NPI-1)
- Name
- Mr. Gordon Donald Lewis
- Credential
- B.S.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 26, 2009
- Certification date
- Aug 13, 2025
- Last updated
- Aug 13, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225400000X | Rehabilitation Practitioner | – | – | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – | |
| 372600000X | Adult Companion | – | – | |
| 101YM0800X | Counselor, Mental Health | – | – | |
| 171M00000X | Case Manager/Care Coordinator | – | – | |
| 172V00000X | Community Health Worker | – | – |
Practice location
390 40th StOakland, CA 94609-2633
Phone 510-613-0330
Mailing address
4910 78th StSacramento, CA 95820-6207
Phone 916-318-2840
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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