Jordan Medical Corporation

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

A53618 Issued in CA

Legal business name

JORDAN MEDICAL CORPORATION

Practice address

7600 Hospital Dr Ste G
Sacramento, CA 95823-5406

Phone

(916) 525-2021

Fax

(916) 525-2065

NPI assigned

Oct 4, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Rebecca Jordan, M.D.

Title

President

Phone

(916) 525-2021

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1191456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191456000000",
    "number": "1811185705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7600 HOSPITAL DR STE G",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958235406",
            "telephone_number": "916-525-2021",
            "fax_number": "916-525-2065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 HOSPITAL DR STE G",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958235406",
            "telephone_number": "916-525-2021",
            "fax_number": "916-525-2065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORDAN MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-04",
        "last_updated": "2007-10-04",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-525-2021",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": "A53618",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A53618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clint Jonutz, CP
• Jayne Joo, M.D.
• Seohyun Joo, PH.D.
• Kit Joos
• Jordan Gaddis D.D.S. a Professional Dental Corporation
• Jennifer Ann Jordan, M.D.
• Jennifer Lynne Jordan, CNM
• Jennipher Jordan, BCBA
• Jenny Mae Jordan
• Jermaine L Jordan

• Primary Care Clinic/Center in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2007; 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.