Jori Andrus

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

Legal business name

JORI ANDRUS

Practice address

3601 Pacific Ave
Stockton, CA 95211-0110

Phone

(209) 946-2132

NPI assigned

Apr 9, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Miss Jori Andrus Leigh

Title

Graduate Coordinator

Phone

(209) 663-7734

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649393216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19818 N GOLF CLUB RD",
            "city": "WOODBRIDGE",
            "state": "CA",
            "postal_code": "952589246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 PACIFIC AVE",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952110110",
            "telephone_number": "209-946-2132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORI ANDRUS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEIGH",
        "authorized_official_first_name": "JORI",
        "authorized_official_middle_name": "ANDRUS",
        "authorized_official_title_or_position": "GRADUATE COORDINATOR",
        "authorized_official_telephone_number": "209-663-7734",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taurean Jordan Rich
• Jerry Wallace Jordan Jr.
• Lisa Jordan
• Therese Lynne Jorgensen, RN
• Patricia Jorgenson, FNP
• Michael W Jory, D.M.D.
• Jennifer Jose
• Josebelo D. Chong, M.D. Inc.
• Joseph Huante (Waterfront Pharmacy)
• Annemarie Joseph

• Preferred Provider Organization in Stockton, CA
• Providers in Stockton, CA by specialty
• Preferred Provider Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.