Active NPI
Jordan Joann Burgess, MD
- Student in an Organized Health Care Education/Training Program
- Palo Alto, CA
National Provider Identifier
1154214914
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 453 Quarry Road
Dept. of OBGYN, MC 5137
Palo Alto, CA 94304 - Phone
- (650) 498-5505
- NPI assigned
- May 30, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
453 Quarry Road
Dept. of OBGYN, MC 5137
Palo Alto, CA 94304
Mailing address
453 Quarry Road
Dept. of OBGYN, MC 5137
Palo Alto, CA 94304
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
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786838400000",
"number": "1154214914",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "453 QUARRY ROAD",
"address_2": "DEPT. OF OBGYN, MC 5137",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "94304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "453 QUARRY ROAD",
"address_2": "DEPT. OF OBGYN, MC 5137",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "94304",
"telephone_number": "650-498-5505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURGESS",
"first_name": "JORDAN",
"middle_name": "JOANN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-05-30",
"last_updated": "2026-08-16",
"certification_date": "2026-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palo Alto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.