Sheldon E Jordan, M.D.

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

G38150 Issued in CA

Practice address

2811 Wilshire Blvd
Ste 790
Santa Monica, CA 90403-4805

Phone

(310) 829-5968

Fax

(310) 453-3685

NPI assigned

Jun 8, 2005

Reactivated

Mar 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Apr 1, 2013 through Apr 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1118188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262736000000",
    "number": "1316941305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2811 WILSHIRE BLVD",
            "address_2": "STE 790",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904034805",
            "telephone_number": "310-829-5968",
            "fax_number": "310-453-3685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2811 WILSHIRE BLVD",
            "address_2": "STE 790",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904034805",
            "telephone_number": "310-829-5968",
            "fax_number": "310-453-3685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "SHELDON",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-08",
        "last_updated": "2010-01-06",
        "deactivation_date": "2006-03-21",
        "reactivation_date": "2006-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "CA",
            "license": "G38150",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLUOROSCOPY OPERATOR PERM",
            "identifier": "RHC 148163",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Jones
• Rachael Jonik, MOT, OTR/L
• Julie Christine Jordan, L.AC.
• Laurence D. Jordan, D.C.
• Roslyn M Jordan, LCPC, LPCC
• Jori Adler Marriage & Family Therapy Prof. Corp.
• Jori Adler Marriage & Family Therapy Prof. Corp.
• Jose Ortiz Dental Corp
• Janina Marie Jose, DO
• Rae A Joselson, M.D.

• Interventional Pain Medicine Physician in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Interventional Pain Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2010; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.