Jordan Sierra Surfus, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

95026740 Issued in CA

Practice address

1110 S Ben Maddox Way
Visalia, CA 93292-3643

Phone

(559) 624-4800

NPI assigned

Aug 22, 2023

Last updated

Aug 22, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Oak Haven Medical Group IncGroup PAC ID 1456758994, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Kaweah Health Medical Center Hospital, Visalia, CA, CCN 050057
• Adventist Health Hanford Hospital, Hanford, CA, CCN 050121
• Adventist Health Tulare Hospital, Tulare, CA, CCN 050784

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Oak Haven Medical Group Inc

  dba Oak Haven Diabetes Center

  • Endocrinology, Diabetes & Metabolism Physician
  • Visalia, CA
  • NPI 1265001002
  Medicare reassignment Care Compare group NPD
• Kaweah Delta Health Care District

  dba Kaweah Health Cardiothoracic Surgery Clinic

  • Multi-Specialty Clinic/Center
  • Visalia, CA
  • NPI 1326704529
  Medicare reassignment NPD
• Kaweah Delta Health Care District

  dba Kaweah Health Urgent Care

  • Urgent Care Clinic/Center
  • Visalia, CA
  • NPI 1790795458
  Medicare reassignment NPD
• Kaweah Delta Health Care District

  dba Kaweah Health Youth Crisis Stabilization Unit

  • Community/Behavioral Health Agency
  • Visalia, CA
  • NPI 1447016050
  NPD
• Kaweah Delta Health Care District

  dba Kaweah Health Specialty Clinic

  • Multi-Specialty Clinic/Center
  • Visalia, CA
  • NPI 1538545520
  NPD
• Kaweah Delta Health Care District

  dba Kaweah Health Medical Clinic - Ben Maddox

  • Primary Care Clinic/Center
  • Visalia, CA
  • NPI 1881984706
  NPD

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

• Adventist Health Tulare

  dba Tulare Regional Medical Center

  • General Acute Care Hospital
  • Tulare, CA
  • NPI 1801366711
  Care Compare affiliation
• Hanford Community Hospital

  dba Adventist Health Hanford

  • General Acute Care Hospital
  • Hanford, CA
  • NPI 1538141627
  Care Compare affiliation
• Kaweah Delta Health Care District

  dba Kaweah Health Medical Center

  • General Acute Care Hospital
  • Visalia, CA
  • NPI 1588663769
  Care Compare affiliation

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

{
    "created_epoch": "1692662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692662400000",
    "number": "1790569598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3733 S OAKHAVEN ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932778070",
            "telephone_number": "559-805-6198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 S BEN MADDOX WAY",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932923643",
            "telephone_number": "559-624-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SURFUS",
        "first_name": "JORDAN",
        "middle_name": "SIERRA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-22",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95026740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yunsik Sung, DDS
• Gilbert Sunio, M.D.
• Sunmed Health and Weight Management a Professional Med Corp
• James Steven Supancic Jr., D.D.S.,M.D.
• Bharath Surapaneni, M.D
• Maya Sutama
• Joshua Sutarwan, MD
• Jason Aaron Swain
• Danielle Lynn Swanson, PHARMD
• Elizabeth Emily Swanson

• Nurse Practitioner in Visalia, CA
• Providers in Visalia, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; 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.