Active NPI
Richard Jordan, M.D.
- Internal Medicine Physician
- South Gate, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A94116
- Practice address
- 4476 Tweedy Blvd
South Gate, CA 90280-6359 - Phone
- (323) 563-9499
- Fax
- (323) 563-0956
- NPI assigned
- Feb 14, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A94116 | CA | Primary |
Addresses
Primary practice location
4476 Tweedy Blvd
South Gate, CA 90280-6359
Mailing address
75 Remittance Drive
Dept 6008
Chicago, IL 60675-6008
Phone (262) 282-1419
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A94160 | Medicaid | CA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of California, Geffen School of Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11500 Brookshire Ave
Downey, CA 90241-4917
Phone (562) 904-5000
12675 La Mirada Blvd
Suite 201And401
La Mirada, CA 90638-2200
Phone (562) 903-7339
4476 Tweedy Blvd
South Gate, CA 90280-6359
Phone (323) 563-9499
Hospital & facility affiliations
- Pih Health Downey Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.61 of 100
- Quality
- 58.7
- Improvement activities
- 40
- Cost
- 75.08
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A94116 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pih Health Physicians | Current | Accepting new patients | |
| Pih Health Physicians | Current | Accepting new patients | |
| Pih Health Physicians | Current | Accepting new patients | |
| Pioneer Medical Group Inc. | Current | Accepting new patients | |
| Bright Medical Associates, Inc. | Past | Accepting new patients | |
| University of California Irvine | Past | Accepting new patients | |
| Los Alamitos Medical Center, Inc. | Past | Accepting new patients | |
| Pih Health Downey Hospital | Past | Accepting new patients |
Locations
17777 Center Court Dr N
Ste 400
Cerritos, CA 90703
Phone (562) 229-9452
12675 La Mirada Blvd
Ste 201401
La Mirada, CA 90638
Phone (562) 903-7339
2220 Clark Ave
Long Beach, CA 90815
Phone (562) 597-4181
4476 Tweedy Blvd
South Gate, CA 90280
Phone (323) 563-9499
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- richardjordan@pihh.allscriptsdirect.net
Organizations & group practices 8
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.
-
- Family Medicine Physician
- Whittier, CA
- NPI 1609233899
-
- Multi-Specialty Clinic/Center
- Bellflower, CA
- NPI 1548303589
-
- Anesthesiology Physician
- Downey, CA
- NPI 1447931506
-
- Obstetrics & Gynecology Physician
- Whittier, CA
- NPI 1821224247
-
- Specialist
- Whittier, CA
- NPI 1578576880
-
- Psychiatric Hospital Unit
- Los Alamitos, CA
- NPI 1497780084
-
- General Acute Care Hospital
- Downey, CA
- NPI 1265433551
-
- General Acute Care Hospital
- Lakewood, CA
- NPI 1184655581
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Downey, CA
- NPI 1265433551
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474416000000",
"number": "1639212558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 REMITTANCE DRIVE",
"address_2": "DEPT 6008",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606756008",
"telephone_number": "262-282-1419",
"fax_number": "562-920-4642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4476 TWEEDY BLVD",
"city": "SOUTH GATE",
"state": "CA",
"postal_code": "902806359",
"telephone_number": "323-563-9499",
"fax_number": "323-563-0956"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JORDAN",
"first_name": "RICHARD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-14",
"last_updated": "2016-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A94116",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A94160",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in South Gate, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2016; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.