John E Jordan, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

G60013 Issued in CA

Practice address

4101 Torrance Blvd
Torrance, CA 90503

Phone

(310) 303-5750

Fax

(310) 303-5709

NPI assigned

Nov 16, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Diagnostic Radiology

Education

Harvard Medical School, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Enloe Medical CenterGroup PAC ID 9739092388, 330 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Enloe Health Hospital, Chico, CA, CCN 050039

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jjordan55085@enloedirect.org

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.

• Enloe Medical Center

  • Surgery Physician
  • Chico, CA
  • NPI 1477975613
  Medicare reassignment Care Compare group NPD
• Advanced Imaging of South Bay, Inc.

  • Diagnostic Radiology Physician
  • Torrance, CA
  • NPI 1003866914
  Medicare reassignment NPD
• Quantum Imaging & Therapeutic Associates Inc

  • Diagnostic Radiology Physician
  • Lewisberry, PA
  • NPI 1609863893

  CA

  Medicare reassignment
• John Jordan, M.D., Inc.

  • Diagnostic Radiology Physician
  • Long Beach, CA
  • NPI 1356447643
  NPD (past) Authorized official
• Enloe Medical Center

  • Community/Retail Pharmacy
  • Chico, CA
  • NPI 1912949538
  NPD
• Stanford Health Care

  • General Acute Care Hospital
  • Stanford, CA
  • NPI 1437292927

  Diagnostic Radiology

  NPD
• Geisinger Clinic

  • Family Medicine Physician
  • Danville, PA
  • NPI 1366493868
  NPD
• University of Pittsburgh Physicians

  • Gastroenterology Physician
  • Pittsburgh, PA
  • NPI 1619935004
  NPD
• Memrad Medical Group Inc

  • Radiology Clinic/Center
  • Long Beach, CA
  • NPI 1831173905
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Enloe Medical Center

  • General Acute Care Hospital
  • Chico, CA
  • NPI 1417901091
  Care Compare affiliation

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366848000000",
    "number": "1720060791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT LA 21552",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911851552",
            "telephone_number": "949-263-8600",
            "fax_number": "949-263-1639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 TORRANCE BLVD",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "90503",
            "telephone_number": "310-303-5750",
            "fax_number": "310-303-5709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "JOHN",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-16",
        "last_updated": "2013-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "G60013",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G600130",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00G600130",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Mericle Jones
• Anthony Yun Jong, D.D.S.
• Jongwook Lee DDS Inc
• Esther Joo, M.D.
• Carlos Jordan-Manzano, M.D.
• Camilla Jorst
• Tina Kolattukudy Jose, M.D.
• Joselyn Bailey M D a Med Corp Joselyn E Bailey President
• Joseph C. Anderson M.D., Inc.
• Joseph C. Anderson, M.D.

• Diagnostic Radiology Physician in Torrance, CA
• Providers in Torrance, CA by specialty
• Diagnostic Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2013; 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.

Verify at the official NPI Registry.