MS. MARION JOANNA JORDAN (NPI# 1730188608) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730188608 |
| Entity Type | Individual |
| Full Name | MS. MARION JOANNA JORDAN |
| Credential | P.A. |
| Practice Address |
1080 Emeline Ave Santa Cruz CA 95060-1966 |
| Practice Telephone | 8314547526 |
| Practice Fax Number | 8314544296 |
| Mailing Telephone | 8314545401 |
| Mailing Fax Number | 8314544488 |
| Enumeration Date | 2005-07-21 |
| Last Update Date | 2020-11-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 13409 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174689269 | Marion Peale Jordan | Social Worker | 49 Hillside St, Corrigan Mental Health Center, Fall River, MA 02720-5211 | 2006-12-31 |
| Street Address |
1080 EMELINE AVE |
| City | SANTA CRUZ |
| State | CA |
| Zip Code | 95060-1966 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811526114 | Selena Hudson | Nurse Practitioner | 1080 Emeline Ave, Santa Cruz, CA 95060-1966 | 2020-04-07 |
| 1689219578 | Melinda Marie Martindale | Social Worker | 1080 Emeline Ave, Santa Cruz, CA 95060-1966 | 2019-11-14 |
| 1588225247 | Kirsten Aline Juel | Social Worker | 1080 Emeline Ave, Santa Cruz, CA 95060-1966 | 2019-06-24 |
| 1093248254 | Rashmi Mathew | Internal Medicine | 1080 Emeline Ave, Santa Cruz, CA 95060-1966 | 2017-04-05 |
| 1659810513 | County of Santa Cruz | Clinic/Center | 1080 Emeline Ave, Santa Cruz, CA 95060-1966 | 2017-02-13 |
| 1598156671 | Jose Luis Fernandez | Counselor | 1080 Emeline Ave, Santa Cruz, CA 95060-1966 | 2015-02-11 |
| 1447591078 | Lisa Hernandez | Preventive Medicine | 1080 Emeline Ave, 2nd Floor, Public Health, Santa Cruz, CA 95060-1966 | 2013-03-06 |
| 1578814901 | Jennifer Kelly | Counselor | 1080 Emeline Ave, Santa Cruz, CA 95060-1966 | 2012-09-25 |
| 1972851517 | Matthew James Ventimiglia | Psychologist | 1080 Emeline Ave, Santa Cruz, CA 95060-1966 | 2012-08-28 |
| 1144504317 | Lilie Mytrang Pham | Nurse Practitioner | 1080 Emeline Ave, Santa Cruz, CA 95060-1966 | 2011-10-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366940215 | Tiphanie Bowens | Counselor | 380 Encinal St., Suite 200, Santa Cruz, CA 95060 | 2018-01-25 |
| 1942714167 | Kyle Hardwick | Chiropractor | 203 River Street, Santa Cruz, CA 95060 | 2017-11-27 |
| 1972015741 | Nina Marie Francesconi | Acupuncturist | 110 Fern St Apt. C, Santa Cruz, CA 95060 | 2017-11-01 |
| 1679091870 | Laura Evelyn Rochelle | Counselor | 380 Encinal St., Suit 200, Santa Cruz, CA 95060 | 2017-09-07 |
| 1649797903 | Jessica Tarnoff | Counselor | 716 Ocean St., Santa Cruz, CA 95060 | 2017-08-28 |
| 1356862064 | Lakia Niema Queen | Counselor | 542 Ocean Street Suite K, Santa Cruz, CA 95060 | 2017-07-03 |
| 1023555992 | Allison Whitehead | Nurse Practitioner | 1080 Emeline Ave., County of Santa Cruz Health Services Agency, Santa Cruz, CA 95060 | 2017-01-30 |
| 1659827293 | Annabelle Drda | Marriage & Family Therapist | 303 Portero St, Santa Cruz, CA 95060 | 2016-09-01 |
| 1376999698 | Erin Liana Johnson | Counselor | 104 Walnut Avenue, Suite 208, Santa Cruz, CA 95060 | 2016-05-05 |
| 1659732097 | Daniel Ezekiel Contreras | Counselor | 1080 Emeline Building D, Santa Cruz, CA 95060 | 2016-03-13 |
| Find all providers in zip 95060 | ||||
| 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 |
|---|---|---|---|---|
| 1730709049 | Maria Veronica Serratos Valdivia | Physician Assistant | 1255 38th Ave Spc 114, Santa Cruz, CA 95062-3240 | 2020-04-16 |
| 1346618071 | Ellen Hucal O'halloran | Physician Assistant | 620b Sumner St, Santa Cruz, CA 95062-2535 | 2015-09-11 |
| 1831412659 | Kimberlee Kay Walsh | Physician Assistant | 1667 Dominican Way Ste 234, Santa Cruz, CA 95065-1560 | 2010-03-08 |
| 1518106533 | Leila Ann Kramer | Physician Assistant | 2025 Soquel Ave., Santa Cruz, CA 95065-1794 | 2009-02-13 |
| 1124244215 | Melinda Carol Padgett | Physician Assistant | University of California, Santa Cruz, Student Health, 1156 High Street, Santa Cruz, CA 95064 | 2007-04-17 |
| 1063581668 | Sharon Lipschutz Kluger | Physician Assistant | 1661 Soquel Dr Ste E, Santa Cruz, CA 95065-1709 | 2006-11-07 |
| 1639182843 | Brian Christopher Martin | Physician Assistant | 1505 Soquel Drive, Suite 12, Santa Cruz, CA 95065-1716 | 2006-08-15 |
| 1932179892 | Pamela Wagner | Physician Assistant | 2900 Chanticleer Ave., Santa Cruz, CA 95065-1816 | 2006-01-24 |
| 1164051314 | Alec Steven Rogness | Physician Assistant | 2018 Mission St, Santa Cruz, CA 95060-5218 | 2020-04-08 |
| 1063994317 | Ashlyn Christine Kelly | Physician Assistant | 1119 Pacific Ave Ste 200, Santa Cruz, CA 95060 | 2018-09-04 |
| Find all providers in SANTA CRUZ | ||||
| City | SANTA CRUZ |
| Zip Code | 95060 |
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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.