Active NPI
Jordan Aaron Firestone, MD, PHD, MPH
- Occupational Medicine Physician
- Mountain View, CA
National Provider Identifier
1124108196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Medicine Physician
- License
- MD00035480
- Practice address
- 237 Escuela Ave Unit B
Mountain View, CA 94040-1812 - Phone
- (650) 554-0844
- NPI assigned
- Oct 16, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Medicine Physician | 2083X0100X | C54699 | CA | |
| Neurology Physician | 2084N0400X | MD00035480 | WA | |
| Neurology Physician | 2084N0400X | C54699 | CA | |
| Occupational Medicine Physician | 2083X0100X | MD00035480 | WA | Primary |
Addresses
Primary practice location
237 Escuela Ave Unit B
Mountain View, CA 94040-1812
Mailing address
237 Escuela Ave Unit B
Mountain View, CA 94040-1812
Phone (650) 554-0844
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 130025374 | Other | WA | RAILROAD MEDICARE |
| 8257313 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00035480 | WA | MD | Occupational Medicine Physician |
| C54699 | CA | MD | Neurology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700092800000",
"number": "1124108196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "237 ESCUELA AVE UNIT B",
"city": "MOUNTAIN VIEW",
"state": "CA",
"postal_code": "940401812",
"telephone_number": "650-554-0844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "237 ESCUELA AVE UNIT B",
"city": "MOUNTAIN VIEW",
"state": "CA",
"postal_code": "940401812",
"telephone_number": "650-554-0844"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FIRESTONE",
"first_name": "JORDAN",
"middle_name": "AARON",
"credential": "MD, PHD, MPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-16",
"last_updated": "2023-11-16",
"certification_date": "2023-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "2083X0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Occupational Medicine",
"state": "CA",
"license": "C54699",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "WA",
"license": "MD00035480",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "CA",
"license": "C54699",
"primary": false
},
{
"code": "2083X0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Occupational Medicine",
"state": "WA",
"license": "MD00035480",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "130025374",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8257313",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mountain View, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.