Individual provider Active NPI

Rebecca S Jordan, M.D.

  • Neurology Physician
  • Sacramento, CA
National Provider Identifier
1649243528
Registry record updated Feb 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
A53618 Issued in CA
Practice address
7600 Hospital Dr
Suite G
Sacramento, CA 95823-5406
Phone
(916) 525-2021
Fax
(916) 525-2065
NPI assigned
Feb 9, 2006
Last updated
Feb 11, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X A53618 CA Primary
General Practice Physician 208D00000X A53618 CA

Addresses

Primary practice location

7600 Hospital Dr
Suite G
Sacramento, CA 95823-5406

Mailing address

7600 Hospital Dr
Suite G
Sacramento, CA 95823-5406
Phone (916) 688-3181

Other identifiers 1

IdentifierTypeStateIssuer
4256368OtherECFMG

Other names 1

  • Rebecca Pickell Sangalang Former name

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
I20100218000050 CA Practitioner - NeurologyPractitioner - General Practice 8325182173 Practice locations: Sacramento, CA

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: General Practice
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

7600 Hospital Dr
G
Sacramento, CA 95823-5406
Phone (916) 525-2021

7600 Hospital Dr G
Sacramento, CA 95823-5406

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A53618CAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allied Medical & Diagnostic Group, Inc. Neurology Current Accepting new patients
Jordanmed Health, Inc. General Practice Current Accepting new patients
On-Site MD S Inc PastSince Apr 8, 2020 Accepting new patients
Sutter Valley Hospitals Past Accepting new patients

Locations

7600 Hospital Dr
Ste J
Sacramento, CA 95823
Phone (916) 525-2021

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581379200000",
    "number": "1649243528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7600 HOSPITAL DR",
            "address_2": "SUITE G",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958235406",
            "telephone_number": "916-688-3181",
            "fax_number": "916-688-3215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 HOSPITAL DR",
            "address_2": "SUITE G",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958235406",
            "telephone_number": "916-525-2021",
            "fax_number": "916-525-2065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "REBECCA",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-09",
        "last_updated": "2020-02-11",
        "certification_date": "2020-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A53618",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A53618",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ECFMG",
            "identifier": "4256368",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "SANGALANG",
            "middle_name": "PICKELL",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.