Gordon Avery Lake, MD
Adult Medicine Physician · Oakland, CA
Gordon Avery Lake, MD is an adult medicine physician with a practice address in Oakland, California, and NPI 1356379838, issued on Jun 30, 2006. Check the license (California G22921, as entered in NPPES) on the Medical Board of California; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Gordon Avery Lake
- Credential
- MD
- Primary taxonomy
- Adult Medicine Physician 207QA0505X
- License number
- G22921 CA
Self-reported in NPPES; status is on the state search - Practice location
- 350 30TH Street, Suite 407, Oakland, CA 94609
- Phone
- (510) 419-0230
- Enumerated
- Jun 30, 2006
- Record last updated
- Jan 19, 2016 (not updated in 10 years: call before relying on the address or phone)
- Fax
- (510) 419-0273
- Medicaid ID
- 00G229210 CA
- Entity
- Type 1 · individual
8 nearest adult medicine physician records → All 386 in California → Look up another NPI →
Verify Gordon Avery Lake in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersMedical Board of California
Search for license G22921Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Gordon Avery Lake among 386 adult medicine physician records in California
Gordon Avery Lake, MD is one of 386 adult medicine physician records with a practice address in California. 69% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2006, is newer than 3% of them.
- NPI issued2006 · 3% of these records are older, 65% newer
- In a Medicare fileNo · 69% of these records are
- In the CMS Doctors and Clinicians fileNo · 48% of these records are
- Record last updated2016 · 63% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207QA0505X and a California practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Adult Medicine Physician providers in California
There are 386 adult medicine physician records in California. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 386 in California → Every provider in Oakland → Adult Medicine Physician nationwide →
The 8 adult medicine physician records with the nearest ZIP codes
- Paul Perchonock, MDOakland, CA 946091700857919
- Jazmin WiseOakland, CA 946111558190751
- Grace Lat, M.D.Oakland, CA 946051528196326
- Vanessa Litman, MDOakland, CA 946011124100110
- Mary Boegel, M.D.Walnut Creek, CA 945981437277282
- Doertlis Schultze-Allen, M.D.Walnut Creek, CA 945981386956969
- Ritu Singhal, M.D.Walnut Creek, CA 945981578521928
- Chanatip Suksang, M.D.Walnut Creek, CA 945951497977102
Common questions
What is Gordon Avery Lake, MD's NPI number?
Gordon Avery Lake, MD's National Provider Identifier (NPI) is 1356379838, issued on Jun 30, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Gordon Avery Lake, MD located?
The NPPES record lists a practice address at 350 30TH Street, Suite 407, Oakland, CA, 94609. Phone: (510) 419-0230. Providers update this record themselves, so call before visiting.
How can I verify Gordon Avery Lake, MD's license?
NPPES lists California license number G22921, as entered by the provider. Search the Medical Board of California at https://www.mbc.ca.gov/License-Verification/default.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.