Active NPI
Jordan L Lalonde, PA-C
- Physician Assistant
- San Leandro, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA58009
- Practice address
- 13855 E 14TH St
San Leandro, CA 94578-2611 - Phone
- (510) 357-6500
- NPI assigned
- Oct 2, 2012
- 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 | P85937 | NY | |
| Physician Assistant | 363A00000X | PA58009 | CA | Primary |
Addresses
Primary practice location
13855 E 14TH St
San Leandro, CA 94578-2611
Mailing address
419 Santa Clara Ave
Alameda, CA 94501-3242
Phone (605) 864-3318
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1411 E 31St St
Oakland, CA 94602-1018
Phone (510) 437-4800
2070 Clinton Ave
Alameda, CA 94501-4399
Phone (510) 522-3700
Hospital & facility affiliations
- Copper Queen Community Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 58009 | CA | MD | Dental Assistant |
| PA58009 | CA | MD | Physician Assistant |
| P85937 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alameda Health System | Current | Accepting new patients | |
| Bisbee Hospital Association | Current | Accepting new patients | |
| Bisbee Hospital Association | Current | Accepting new patients | |
| Bisbee Hospital Association | Current | Accepting new patients | |
| Citizens Medical Center County of Victoria | Past | Accepting new patients | |
| Alameda Health System | Past | Accepting new patients |
Locations
101 Cole Ave
Bisbee, AZ 85603
Phone (520) 432-5383
100 E 5th St
Douglas, AZ 85607
Phone (520) 364-7659
2070 Clinton Ave
Alameda, CA 94501
Phone (510) 522-3700
1411 E 31st St
Oakland, CA 94602
Phone (510) 437-4323
13855 E 14th St
San Leandro, CA 94578
Phone (510) 357-6500
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.
-
- Surgery Physician
- Oakland, CA
- NPI 1740332931
-
- Critical Access Hospital
- Bisbee, AZ
- NPI 1518968767
-
- Rural Health Clinic/Center
- Hereford, AZ
- NPI 1245986975
-
- Point of Service
- Bisbee, AZ
- NPI 1508137209
-
- General Acute Care Hospital
- Oakland, CA
- NPI 1083815872
-
- General Acute Care Hospital
- Victoria, TX
- NPI 1124052162
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Bisbee, AZ
- NPI 1518968767
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754524800000",
"number": "1063763977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "419 SANTA CLARA AVE",
"city": "ALAMEDA",
"state": "CA",
"postal_code": "945013242",
"telephone_number": "605-864-3318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13855 E 14TH ST",
"city": "SAN LEANDRO",
"state": "CA",
"postal_code": "945782611",
"telephone_number": "510-357-6500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LALONDE",
"first_name": "JORDAN",
"middle_name": "L",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-10-02",
"last_updated": "2025-08-07",
"certification_date": "2025-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "P85937",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA58009",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Leandro, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.