Individual provider Active NPI

Jordan Kaplan

  • Plastic Surgery Physician
  • San Diego, CA
National Provider Identifier
1336673045
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
A183990 Issued in CA
Practice address
5720 Oberlin Dr
San Diego, CA 92121-1723
Phone
(858) 455-7558
NPI assigned
Apr 19, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X A183990 CA Primary

Addresses

Primary practice location

5720 Oberlin Dr
San Diego, CA 92121-1723

Mailing address

5309 Enderby CT
Calabasas, CA 91302-3163
Phone (818) 207-3626

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250617002745 CA Practitioner - Plastic and Reconstructive Surgery 2466963319 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health Allies Clinic IncGroup PAC ID 8527458389, 16 clinicians

Practice addresses (Care Compare)

5395 Ruffin Rd
Suite 102
San Diego, CA 92123-1338
Phone (858) 598-5291

Hospital & facility affiliations

  • Scripps Memorial Hospital la Jolla Hospital, La Jolla, CA, CCN 050324

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A183990CAMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Health Allies Clinic Inc Plastic Surgery CurrentSince May 5, 2025 Accepting new patients

Locations

5395 Ruffin Rd
Ste 102
San Diego, CA 92123
Phone (858) 569-8959

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1492560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1336673045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5309 ENDERBY CT",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913023163",
            "telephone_number": "818-207-3626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5720 OBERLIN DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211723",
            "telephone_number": "858-455-7558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAPLAN",
        "first_name": "JORDAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-19",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "A183990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.