MICHAEL J. JORDAN


Address: 320 Lennon Ln, Walnut Creek, CA 94598-2419
Phone: 9259062000

MICHAEL J. JORDAN (NPI# 1215015300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1215015300
Entity Type Individual
Full Name MICHAEL J. JORDAN
Credential MD
Practice Address 320 Lennon Ln
Walnut Creek
CA 94598-2419
Mailing Address 1800 Harrison St Fl 7
Oakland
CA 94612-3429
Practice Telephone 9259062000
Mailing Telephone 5106256262
Enumeration Date 2006-11-02
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207V00000X Obstetrics & Gynecology G45265 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA 00G452650 05

Other Providers MICHAEL JORDAN

NPI Name Taxonomy Address Enumeration
1861889776 Michael Andrew Jordan Ophthalmology 825 Nicollet Mall Ste 2000, Minneapolis, MN 55402-2708 2015-04-17
1629493275 Michael Jordan Preventive Medicine 2 Stone Gate Ct, Setauket, NY 11733-1346 2014-02-19
1134469448 Michael Jack Jordan Counselor 1418 Lindale Ave, Norman, OK 73069-4423 2013-02-22
1598971723 Michael Wayne Jordan Psychiatry & Neurology 3116 S Mill Ave, #605, Tempe, AZ 85282-3657 2007-05-15
1932283025 Michael Thomas Jordan Physician Assistant Seminole Blvd, St. Petersburg, FL 33744 2006-10-25
1588755862 Michael Arthur Jordan Optometrist 3063 Dauphin St, Mobile, AL 36606-4040 2006-09-28
1205816840 Michael Couzens Jordan Pediatrics 4150 Woodlands Pkwy, Suite B, Palm Harbor, FL 34685-3495 2006-01-19
1104470848 Michael Jordan Pharmacist 1485 Harrison Blvd, Ogden, UT 84404-6093 2019-07-31
1376103986 Michael K Jordan Behavior Technician 16200 19 Mile Rd, Clinton Twp, MI 48038-1103 2019-06-17
1699244418 Michael D Jordan Case Manager/Care Coordinator 124 Carmen Ln Ste A, Santa Maria, CA 93458-7768 2018-11-21

Office Location

Street Address 320 LENNON LN
City WALNUT CREEK
State CA
Zip Code 94598-2419

Providers in the same location

NPI Name Taxonomy Address Enumeration
1700881661 Ethan Matthew Kutzscher Ophthalmology 320 Lennon Ln, Walnut Creek, CA 94598 2005-06-16
1487141974 Siobhan Mark Speech-Language Pathologist 320 Lennon Ln, Walnut Creek, CA 94598-2419 2018-04-19
1649701202 Margaret Rubio Pharmacist 320 Lennon Ln, Walnut Creek, CA 94598-2419 2017-03-24
1427589084 Belinda Danielson Pharmacist 320 Lennon Ln, Walnut Creek, CA 94598-2419 2017-03-24
1750812301 Michael Sharp Pharmacist 320 Lennon Ln, Walnut Creek, CA 94598-2419 2017-03-24
1336670298 Zhuo Li Pharmacist 320 Lennon Ln, Walnut Creek, CA 94598-2419 2017-03-22
1093269573 Sean Anthony Robinson Physical Therapist 320 Lennon Ln, Shasta Bldg #4, Walnut Creek, CA 94598-2410 2016-08-12
1003294794 Linda Marie Heckenlively Speech-Language Pathologist 320 Lennon Ln, Walnut Creek, CA 94598-2419 2015-05-13
1215282207 Lakshmi Sowjanya Mallela Internal Medicine 320 Lennon Ln, Walnut Creek, CA 94598-2419 2012-07-17
1942576384 David Chien-yuan Kung Optometrist 320 Lennon Ln, Optometry, Walnut Creek, CA 94598-2419 2012-03-30
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1639716608 Tasnim Diaf Moulton Counselor 2730 Shadelands Drive, Walnut Creek, CA 94598 2019-12-09
1790255370 Harmony Grace Davis Behavior Technician 2730 Shadelands Drive Bldg 10, Walnut Creek, CA 94598 2018-11-27
1922583772 Melissa Anne Mcgovern Behavioral Analyst 2370 Shadelands Drive, Bldg 10, Walnut Creek, CA 94598 2018-09-27
1184108367 Brett Heflin Woodrufff Behavior Technician 2730 Shandeland Dr. Building 10, Walnut Creek, CA 94598 2018-09-24
1710411640 Mandy Wei Pharmacist 2880 Shadeland Dr, Suite 201, Walnut Creek, CA 94598 2017-04-18
1437683497 Hayley Miller Student in an Organized Health Care Education/Training Program 2204 Lomond Lane, Walnut Creek, CA 94598 2017-04-17
1043601594 Marlene Perez Riedel Nurse Practitioner 450 North Wiget Lane, Walnut Creek, CA 94598 2015-02-05
1922418904 Dante Michael Sorrentino Ophthalmology Kaiser Permanente Park Shadelands Medical Offices, 320 Lennon Lane, Walnut Creek, CA 94598 2014-04-30
1194156505 Robert Harrison Hubbell Obstetrics & Gynecology 838 Stonehaven Dr, Walnut Creek, CA 94598 2013-12-11
1174954192 Paul Mead Orthopaedic Surgery 2405 Shadelands Dr Ste 300, Walnut Creek, CA 94598 2013-12-01
Find all providers in zip 94598

Taxonomy Information

Taxonomy Code 207V00000X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology

Taxonomy Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1497257950 Baychildren's Physicians Obstetrics & Gynecology 2970 Camino Diablo Ste 200, Walnut Creek, CA 94597-4001 2018-03-01
1790173292 My-linh Thi Nguyen Obstetrics & Gynecology 100 N Wiget Ln Ste 290, Walnut Creek, CA 94598-5901 2015-01-06
1104245711 Lillian Darlene Lanka Obstetrics & Gynecology 634 Shadowhawk Way, Walnut Creek, CA 94595 2014-04-10
1376969774 Richard Allen Kaplan Obstetrics & Gynecology 1808 Castle Gate Road, Walnut Creek, CA 94595 2014-03-10
1194156505 Robert Harrison Hubbell Obstetrics & Gynecology 838 Stonehaven Dr, Walnut Creek, CA 94598 2013-12-11
1215224761 Brian Kellert Obstetrics & Gynecology 110 Tampico Drive Suite 100, Walnut Creek, CA 94598-1267 2011-07-06
1538488226 Dr. Louis A.klein Obstetrics & Gynecology 112 La Casa Via Ste 130, Walnut Creek, CA 94598-3016 2010-05-20
1063627362 Madhavi Durga Vemulapalli Obstetrics & Gynecology 112 La Casa Via Ste 300, Walnut Creek, CA 94598-3059 2007-05-11
1811042807 Robert W Mayo Obstetrics & Gynecology 4225 Arbolado Dr, Walnut Creek, CA 94598-4682 2007-01-23
1063590677 Mark Allen Patterson Obstetrics & Gynecology 2657 Saklan Indian Dr Apt 2, Walnut Creek, CA 94595-3026 2006-11-01
Find all providers in WALNUT CREEK

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City WALNUT CREEK
Zip Code 94598

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Dataset Information

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.

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