DR. JORDAN JARVIS (NPI# 1821173246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821173246 |
| Entity Type | Individual |
| Full Name | DR. JORDAN JARVIS |
| Credential | M.D. |
| Practice Address |
4700 Northgate Blvd Ste. 100 Sacramento CA 95834-1128 |
| Practice Telephone | 9169296161 |
| Mailing Telephone | 9169296161 |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | G47577 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194324475 | Jordan Jarvis | Behavior Technician | 44670 Ann Arbor Rd W, Plymouth, MI 48170-3962 | 2020-10-19 |
| Street Address |
4700 NORTHGATE BLVD STE. 100 |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95834-1128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659380913 | Wendy Dyan Kreller | Physical Therapist | 4700 Northgate Blvd, Suite 100, Sacramento, CA 95834-1128 | 2006-08-05 |
| 1821544289 | U.S. Healthworks Medical Group, PC | Preventive Medicine | 4700 Northgate Blvd, Suite 100, Sacramento, CA 95834-1128 | 2016-08-26 |
| 1336505403 | Marquis Dionson | Physical Therapy Assistant | 4700 Northgate Blvd, Suite 100, Sacramento, CA 95834-1128 | 2016-01-05 |
| 1699098749 | Patrick Douglas Mckenzie | Nurse Practitioner | 4700 Northgate Blvd, Suite 100, Sacramento, CA 95834-1128 | 2010-03-03 |
| 1386781425 | Terra Nova Counseling | Community/Behavioral Health | 4700 Northgate Blvd, Suite 122, Sacramento, CA 95834-1128 | 2007-01-30 |
| 1285643551 | Corlis Denise Myers | Physical Therapy Assistant | 4700 Northgate Blvd, Suite 100, Sacramento, CA 95834-1128 | 2006-08-05 |
| 1528077898 | Lance Wolfe Diamond | Physical Therapy Assistant | 4700 Northgate Blvd, Sacramento, CA 95834-1128 | 2006-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871085209 | Yen T Tran | Student in an Organized Health Care Education/Training Program | 3810 Rosin Ct Suite 170, Sacramento, CA 95834 | 2018-06-01 |
| 1326557620 | Mariah N Calpo | Registered Nurse | 601 North Market, Sacramento, CA 95834 | 2017-09-29 |
| 1710400700 | Rose Medical Transportation | Driver | 4330 Natomas Central Dr, Sacramento, CA 95834 | 2017-07-20 |
| 1801319066 | Caitlin Janae Lluen | Physical Medicine & Rehabilitation | 1948 Del Paso Road Suite 135, Sacramento, CA 95834 | 2017-07-19 |
| 1083152169 | Irene Enriquez Ramos | Social Worker | 3627 Broadland Street, Sacramento, CA 95834 | 2017-02-08 |
| 1609322973 | Zachary Estrada | Student in an Organized Health Care Education/Training Program | 3780 Rosic Court, Ste 130, Sacramento, CA 95834 | 2016-08-28 |
| 1104287465 | Mark David Levine, Mbr | Psychiatry & Neurology | 3835 N. Freeway Blvd., Suite 100, Sacramento, CA 95834 | 2016-03-15 |
| 1376902767 | Peter Yang | Case Manager/Care Coordinator | 3870 Rosin Court Ste 130, Sacramento, CA 95834 | 2016-02-15 |
| 1346615739 | Renee Joyce Eckley Reinhardt | Nurse Practitioner | 4100 E Commerce Way Suite 100, Sacramento, CA 95834 | 2015-12-10 |
| 1558779454 | Hanh Tran I | Pharmacist | 3769 Broadland St, Sacramento, CA 95834 | 2014-07-24 |
| Find all providers in zip 95834 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598362709 | Afua Takyi | General Practice | 1555 River Park Dr Ste 211, Sacramento, CA 95815-4604 | 2020-10-01 |
| 1518467984 | Yasuo Takegoshi | General Practice | 1935 Stockton Blvd, Sacramento, CA 95816-6637 | 2018-02-12 |
| 1386084283 | Anthony J.t. Sabo | General Practice | 2315 Stockton Blvd., Naob 6th Floor, Sacramento, CA 95817-2201 | 2013-06-25 |
| 1992046981 | Mahendra Datt Sharma | General Practice | 4106 Garden Hwy, Sacramento, CA 95834 | 2013-03-15 |
| 1447596598 | Teresa Shea Pappas | General Practice | 440 Estates Dr, Sacramento, CA 95864-6046 | 2012-12-18 |
| 1124275060 | Otis Victor Thomas Jr. | General Practice | 2501 Mabry Dr, Sacramento, CA 95835-1501 | 2008-08-22 |
| 1396929436 | Robert Michael Hawkins | General Practice | 3609 Bradshaw Rd # 432, Sacramento, CA 95827-3275 | 2007-12-26 |
| 1730398017 | Jonathan Schwartz | General Practice | 1010 Hurley Way, Sacramento, CA 95825-3215 | 2007-05-22 |
| 1528270063 | Gustavo A Rosales Md, Inc | General Practice | 5385 Franklin Blvd Suite K, Sacramento, CA 95820 | 2007-05-04 |
| 1871669507 | Joseph Charles Heffernan Sr. | General Practice | 2628 El Camino Avenue, Suite A 8, Sacramento, CA 95821-5934 | 2006-11-27 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95834 |
Please comment or provide details below to improve the information on DR. JORDAN JARVIS.
| 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.