JORDAN JONES (NPI# 1205377306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205377306 |
| Entity Type | Individual |
| Full Name | JORDAN JONES |
| Credential | PA-C |
| Practice Address |
4058 Willows Rd Alpine CA 91901-1668 |
| Mailing Address |
2218 Polo Park Dr Dayton OH 45439-3267 |
| Practice Telephone | 8004001189 |
| Mailing Telephone | 6129404029 |
| Enumeration Date | 2017-03-09 |
| Last Update Date | 2020-01-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 50.005032RX | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 36350 Church Rd, Campo, CA 919062715 | 6194451188 | |
| 7095 Clyo Rd, Centerville, OH 454594816 | 9374585084 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255955134 | Jordan Bruce Jones | Spec/Tech, Cardiovascular | 6725 S 13650 W, Elberta, UT 84626 | 2020-06-05 |
| 1114436193 | Jordan Pauline Jones | Specialist/Technologist | 413 Carthage Rd, Lumberton, NC 28358-4522 | 2017-09-22 |
| 1508313214 | Jordan Jones | Behavior Technician | 1106 Ne 2nd Ct, Hallandale Beach, FL 33009-3509 | 2016-09-10 |
| 1801272794 | Jordan Jones | Pharmacist | 3501 Gateview Pl, Louisville, KY 40272-2668 | 2015-08-03 |
| 1235739624 | Jordan Craven Jones | Nurse Practitioner | 104 W Medical Park Dr, Lexington, NC 27292-6773 | 2020-10-27 |
| 1477184232 | Jordan Taylor Jones | Behavior Technician | 1922 The Alameda Ste 425, San Jose, CA 95126-1453 | 2020-01-30 |
| 1023669637 | Jordan Jones | Counselor | 391 Pomfret St, Putnam, CT 06260-1852 | 2019-09-25 |
| 1548821879 | Jordan Jones | Emergency Medicine | 901 N Porter Ave, Norman, OK 73071-6404 | 2019-06-26 |
| 1447816566 | Jordan Jones | Case Manager/Care Coordinator | 605 S Patterson Blvd, Dayton, OH 45402-2649 | 2019-05-14 |
| 1851857478 | Jordan Jamal Jones | Dentist | 1500 Beville Rd Ste 403, Daytona Beach, FL 32114 | 2019-02-19 |
| Street Address |
4058 WILLOWS RD |
| City | ALPINE |
| State | CA |
| Zip Code | 91901-1668 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346247947 | Southern Indian Health Council Inc | Clinic/Center | 4058 Willows Rd, Alpine, CA 91901-1668 | 2005-06-28 |
| 1073126884 | Lacey Danielle Armstrong | Dental Hygienist | 4058 Willows Rd, Alpine, CA 91901-1668 | 2020-08-31 |
| 1114496114 | Amy Rose Cochran | Dietitian, Registered | 4058 Willows Rd, Alpine, CA 91901-1668 | 2018-11-19 |
| 1780192823 | Maly Vilichay Quinto | Dental Hygienist | 4058 Willows Rd, Alpine, CA 91901-1668 | 2018-01-10 |
| 1750818274 | Gavva Ranadhir Ram Reddy | Family Medicine | 4058 Willows Rd, Alpine, CA 91901-1668 | 2017-05-15 |
| 1588190326 | Ashley Holt | Dietitian, Registered | 4058 Willows Rd, Alpine, CA 91901-1668 | 2017-05-11 |
| 1033650668 | Tami Mason | Marriage & Family Therapist | 4058 Willows Rd, Alpine, CA 91901-1668 | 2017-03-15 |
| 1801345178 | Cindy Jones | Marriage & Family Therapist | 4058 Willows Rd, Alpine, CA 91901-1668 | 2016-09-28 |
| 1174919971 | Peter Murray Baum | Family Medicine | 4058 Willows Rd, Alpine, CA 91901 | 2015-04-09 |
| 1356761571 | Kenneth Kaleoaloha Ortiz | Family Medicine | 4058 Willows Rd, Alpine, CA 91901-1668 | 2014-04-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508381302 | Mary Allison Redden | Registered Nurse | 1730 Alpine Blvd, Alpine, CA 91901 | 2017-08-14 |
| 1801332317 | Christine Angela Myers | Registered Nurse | 2003 Via Del Torrie, Alpine, CA 91901 | 2017-01-09 |
| 1346626199 | Jenny Chen | Dental Hygienist | 4058 Willows Road, Alpine, CA 91901 | 2015-08-04 |
| 1225391410 | Arthi Chawla | Family Medicine | Southern Indian Health Council 4058 Willows Road, Po Box 2128, Alpine, CA 91901 | 2012-06-21 |
| 1407136161 | Myrna Apura Mayer | Massage Therapist | 2754 Alpine Blvd., Alpine, CA 91901 | 2011-08-25 |
| 1578716148 | Alpine Dentistry | Dentist | 1620 Alpine Blvd., Su. #121, Alpine, CA 91901 | 2008-10-28 |
| 1295915064 | Jessica Lynne Fonte | Counselor | 2120 Alpine Blvd., Alpine Special Treatment Center, Alpine, CA 91901 | 2007-11-09 |
| 1740487008 | Elite Hospital Care, Inc | Internal Medicine | 1347 Tavern Rd., Ste. 18-244, Alpine, CA 91901 | 2007-06-29 |
| 1780706028 | Martin Gorence | Pharmacist | 1665 Alpine Bld, Alpine, CA 91901 | 2007-04-06 |
| 1720100902 | Diane Eugenia Janssen | Marriage & Family Therapist | 2065 Alpine Blvd, Ste 3, Alpine, CA 91901 | 2007-04-06 |
| Find all providers in zip 91901 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700403995 | Amber Astle | Physician Assistant | 782 Canterbury Ln, Alpine, UT 84004-1255 | 2020-07-03 |
| 1942493630 | Hadden F Goodman | Physician Assistant | 23 Elkrun Hwy 89, Alpine, WY 83128 | 2007-08-25 |
| 1033735329 | Oana Grigoras | Physician Assistant | 1730 Alpine Blvd Ste 205, Alpine, CA 91901-3878 | 2020-06-22 |
| 1861961369 | Emily Andrew | Physician Assistant | 1730 Alpine Blvd, Alpine, CA 91901-3876 | 2018-11-14 |
| 1649604638 | Heather Leishman | Physician Assistant | 155 W Canyon Crest Rd, Suite 200, Alpine, UT 84004-1819 | 2013-08-26 |
| 1417135336 | Richard Dale Weihert | Physician Assistant | 4058 Willows Rd, Alpine, CA 91901-1668 | 2008-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407679 | Samantha Sidney Spinner | Physician Assistant | 1385 Shattuck Ave Apt 201, Berkeley, CA 94709-1468 | 2020-11-08 |
| 1134720972 | Alessandra Porfido | Physician Assistant | 733 Filbert St Apt 1, San Francisco, CA 94133-2767 | 2020-11-06 |
| 1992306872 | Kelsey Oberg | Physician Assistant | 1817 Oldfield Ct, El Cajon, CA 92019-4233 | 2020-11-05 |
| 1609477504 | Julia Claire Stiefel | Physician Assistant | 369 Orange St Apt A, Oakland, CA 94610-2979 | 2020-11-05 |
| 1164023347 | Wendy P Lewis | Physician Assistant | 10447 Highdale St, Bellflower, CA 90706-4122 | 2020-11-04 |
| 1245830181 | Lauren Bennett | Physician Assistant | 3360 Horizon St, Corona, CA 92881-0728 | 2020-10-29 |
| 1538769062 | Revital Ahl | Physician Assistant | 18141 Medley Dr, Encino, CA 91316-4447 | 2020-10-26 |
| 1922607423 | Emily Halla | Physician Assistant | 7473 Gresham Ct, San Jose, CA 95139-1424 | 2020-10-26 |
| 1386243889 | Ilaitia Lecia Namatasere | Physician Assistant | 614 Sycamore Ln Apt 225, Davis, CA 95616-7901 | 2020-10-26 |
| 1083213706 | Courtney Kathryn Hopp | Physician Assistant | 4060 Fourth Ave Ste 209, San Diego, CA 92103-2120 | 2020-10-23 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.