Jordan M Usunov M D a Professional Corporation

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

JORDAN M USUNOV M D A PROFESSIONAL CORPORATION

Practice address

1540 N Tracy Blvd
A
Tracy, CA 95376-2530

Phone

(209) 836-2223

Fax

(209) 836-2530

NPI assigned

Aug 1, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jordan M Usunov, MDNPI 1609939099

Title

MD/Doctor

Phone

(209) 836-2223

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jordan M Usunov, MD

  • Ophthalmology Physician
  • Tracy, CA
  • NPI 1609939099
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1185926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358899200000",
    "number": "1154511442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 N TRACY BLVD",
            "address_2": "A",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953762530",
            "telephone_number": "209-836-2223",
            "fax_number": "209-836-2530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 N TRACY BLVD",
            "address_2": "A",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953762530",
            "telephone_number": "209-836-2223",
            "fax_number": "209-836-2530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORDAN M USUNOV M D A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-01",
        "last_updated": "2013-01-23",
        "status": "A",
        "authorized_official_last_name": "USUNOV",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MD/DOCTOR",
        "authorized_official_telephone_number": "209-836-2223",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Johnston Lim Co, MD a Medical Corporation (Co Occupational Medical Partners)
• Daisy Yonzon Jones, DO
• Danyelle Jones
• Justina M Jones
• Kendra Jones
• Joseph Rawlins DDS Dental Corp
• Joshua Solomon DDS Ms Dental Corp (Pediatric Dentistry of Tracy)
• Journeycure Nemt
• Genevive M. Julien, PSYD
• JW Healthcare Inc. (Golden State Home Health Care)

• Ophthalmology Physician in Tracy, CA
• Providers in Tracy, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.