Javier Antonio Jardon, MD
Individual provider Active NPI Retina Specialist (Ophthalmology) Physician · Maywood, CA
NPI 1609171982 · NPPES record last updated Jul 14, 2020
Key facts
- NPI
- 1609171982
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Retina Specialist (Ophthalmology) Physician 207WX0107X
- License
- A131365 (CA)
- Practice address
- 4131 Slauson Ave
Maywood, CA 90270-2833 - Phone
- (323) 749-8100
- Fax
- (323) 749-8101
- NPI assigned
- Jan 19, 2011
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Ophthalmology
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4131 Slauson Ave
Maywood, CA 90270-2833
Phone (323) 749-8100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 41 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140910000111 | CA | Practitioner - Ophthalmology | 1153540976 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A131365 | CA | MD | Ophthalmology Physician |
Practice roles (1 of 2)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scripps Health | Current | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- jjardon81152@scrippshlth.medalliesdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | A131365 | CA | |
| Retina Specialist (Ophthalmology) Physician | 207WX0107X | A131365 | CA | Yes |
Addresses
Primary practice location
4131 Slauson Ave
Maywood, CA 90270-2833
Mailing address
PO Box 762
Maywood, CA 90270-0762
Phone (323) 749-8100
Other providers in Maywood, CA
- Anh D. Hoang
- Zhongwen Huang
- Infinity Care of Maywood
- James Wong Dental Corp.
- James Wong Dental Corp.
- Javier a Jardon MD Medical Corporation
- Jose Clemente Navarrete M D Inc
- Jose R. Torres D.D.S., Inc.
- Jose R. Torres DDS Inc
- Irving Jair Juarez Martinez
All providers in Maywood, CA · Retina Specialist (Ophthalmology) Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 14, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.