Individual provider Active NPI

Jordan Pouran Daneshzadeh

  • Physician Assistant
  • Henderson, NV
National Provider Identifier
1669139044
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA3197 Issued in NV
Practice address
870 Seven Hills Dr Ste 103
Henderson, NV 89052-4378
Phone
(725) 777-0414
Fax
(702) 565-5027
NPI assigned
Nov 20, 2021
Last updated
Jul 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA3197 NV Primary

Addresses

Primary practice location

870 Seven Hills Dr Ste 103
Henderson, NV 89052-4378

Mailing address

870 Seven Hills Dr Ste 103
Henderson, NV 89052-4378
Phone (725) 777-0414

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250725003000 NV Practitioner - Physician Assistant 8426406430 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Group practices
Iriye Medical Group PLLCGroup PAC ID 2163415910, 61 clinicians

Practice addresses (Care Compare)

2011 Pinto LN
Suite 200
Las Vegas, NV 89106-4007
Phone (702) 382-3200

870 Seven Hills Dr
Suite 103
Henderson, NV 89052-4378
Phone (725) 777-0414

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
60670CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care PA CurrentSince Jul 12, 2025 Accepting new patients
American Current Care P.a. CurrentSince Jul 12, 2025 Accepting new patients

Locations

149 N Gibson Rd
Ste H
Henderson, NV 89014
Phone (702) 558-6275

255 Glendale Ave
Ste 12
Sparks, NV 89431
Phone (775) 356-8181

Interoperability endpoints

  • Direct secure messaging: jordan.daneshzadeh.1@27017.direct.athenahealth.com
  • Direct secure messaging: jordan.daneshzadeh.p1@direct.fpawomenshealth.nextgenshare.com

Organizations & group practices 3

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": "1637366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1669139044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "870 SEVEN HILLS DR STE 103",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524378",
            "telephone_number": "725-777-0414",
            "fax_number": "702-565-5027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 SEVEN HILLS DR STE 103",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524378",
            "telephone_number": "725-777-0414",
            "fax_number": "702-565-5027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANESHZADEH",
        "first_name": "JORDAN",
        "middle_name": "POURAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-20",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "PA3197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.