Organization Active NPI

Dr. Jordan Howard Green Medical Corporation

  • Orthopaedic Surgery Physician
  • San Jose, CA
National Provider Identifier
1396671046
Registry record updated Jun 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
DR. JORDAN HOWARD GREEN MEDICAL CORPORATION
Practice address
125 N Jackson Ave Ste 205
San Jose, CA 95116-1915
Phone
(408) 258-6565
NPI assigned
Jun 22, 2026
Last updated
Jun 22, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2026

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

Authorized official

Name
Jordan Howard Green, MDNPI 1063904829
Title
Ceo
Phone
(734) 660-9921

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

125 N Jackson Ave Ste 205
San Jose, CA 95116-1915

Mailing address

125 N Jackson Ave Ste 205
San Jose, CA 95116-1915

Other practice location 1

525 W Acacia St Ste 23
Stockton, CA 95203-2405
Phone (209) 456-5516

National Provider Directory

National Provider Directory

Locations

125 N Jackson Ave
Ste 205
San Jose, CA 95116
Phone (408) 258-6565

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1782086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782086400000",
    "number": "1396671046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 N JACKSON AVE STE 205",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 N JACKSON AVE STE 205",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161915",
            "telephone_number": "408-258-6565"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "525 W Acacia St Ste 23",
            "address_purpose": "LOCATION",
            "city": "Stockton",
            "state": "CA",
            "postal_code": "952032405",
            "country_code": "US",
            "telephone_number": "209-456-5516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DR. JORDAN HOWARD GREEN MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-22",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-21",
        "status": "A",
        "authorized_official_last_name": "HOWARD GREEN",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "734-660-9921",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 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.

Verify at the official NPI Registry.