Active NPI
Jordan Dana Rosenstein
- Physician Assistant
- Columbia, TN
National Provider Identifier
1013419498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 1224 Trotwood Ave
Columbia, TN 38401 - Phone
- (931) 381-1111
- NPI assigned
- Mar 1, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary | ||
| Physician Assistant | 363A00000X | 5301 | TN |
Addresses
Primary practice location
1224 Trotwood Ave
Columbia, TN 38401
Mailing address
2615 Chester Ave
Bakersfield, CA 93301-2014
Phone (661) 869-6200
Other practice location 1
2615 Chester Ave
Bakersfield, CA 93301-2014
Phone (661) 395-3000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 55512 | CA | MD | Critical Care Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America-California | Current | Accepting new patients | |
| Priority Urgent Care | Current | Accepting new patients | |
| Priority Urgent Care | Current | Accepting new patients |
Locations
4821 Panama Ln
Ste Ac
Bakersfield, CA 93313
Phone (661) 556-4777
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Bakersfield, CA
- NPI 1063928463
-
- Emergency Medicine Physician
- Nashville, TN
- NPI 1194758979
-
- Emergency Medicine Physician
- San Francisco, CA
- NPI 1023063542
-
- Emergency Medicine Physician
- Bakersfield, CA
- NPI 1164218533
-
- Urgent Care Clinic/Center
- Bakersfield, CA
- NPI 1881148096
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705104000000",
"number": "1013419498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2615 CHESTER AVE",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933012014",
"telephone_number": "661-869-6200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1224 TROTWOOD AVE",
"city": "COLUMBIA",
"state": "TN",
"postal_code": "38401",
"telephone_number": "931-381-1111"
}
],
"practiceLocations": [
{
"address_1": "2615 Chester Ave",
"address_purpose": "LOCATION",
"city": "Bakersfield",
"state": "CA",
"postal_code": "933012014",
"country_code": "US",
"telephone_number": "661-395-3000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROSENSTEIN",
"first_name": "JORDAN",
"middle_name": "DANA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-03-01",
"last_updated": "2024-01-13",
"certification_date": "2024-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TN",
"license": "5301",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.