Active NPI
Jordan Aney, M.D.
- Pediatrics Physician
- Loma Linda, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A138278
- Practice address
- 25845 Barton Rd
Loma Linda, CA 92354-3899 - Phone
- (909) 558-2828
- NPI assigned
- May 13, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A138278 | CA | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
25845 Barton Rd
Loma Linda, CA 92354-3899
Mailing address
54701 File Number
Los Angeles, CA 90074-4701
Phone (909) 651-4300
Other practice location 1
11234 Anderson St
Loma Linda University Medical Center - Pediatrics
Loma Linda, CA 92354-2804
Phone (909) 558-4174
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171023003013 | CA | Practitioner - Pediatric Medicine | 2769758572 | Reassigns benefits to 1 organization |
| I20190208001742 | ID | Practitioner - Pediatric Medicine | 2769758572 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A138278 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Lukes Clinic-Treasure Valley LLC | Pediatrics | Current | Accepting new patients |
| County of San Bernardino | Current | Accepting new patients | |
| County of San Bernardino | Current | Accepting new patients | |
| St Lukes Clinic-Treasure Valley LLC | Pediatrics | Current | Accepting new patients |
Locations
303 E Mountain View St
Barstow, CA 92311
Phone (760) 256-4705
351 N Mountain View Ave
Rm 303
Sn Bernrdno, CA 92415
190 E Bannock St
Boise, ID 83712
Phone (208) 381-2378
610 W Hays St
Boise, ID 83702
Phone (208) 345-3530
Interoperability endpoints
- janey119691@direct.slhs.org
Organizations & group practices 4
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- San Bernardino, CA
- NPI 1164467023
CA
-
- Family Medicine Physician
- Boise, ID
- NPI 1326336058
ID, Pediatrics
-
- Public Health or Welfare Agency
- Barstow, CA
- NPI 1073783239
-
- Family Medicine Physician
- Mountain Home, ID
- NPI 1417297821
Pediatrics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1922419902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "54701 FILE NUMBER",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900744701",
"telephone_number": "909-651-4300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25845 BARTON RD",
"city": "LOMA LINDA",
"state": "CA",
"postal_code": "923543899",
"telephone_number": "909-558-2828"
}
],
"practiceLocations": [
{
"address_1": "11234 Anderson St",
"address_2": "Loma Linda University Medical Center - Pediatrics",
"address_purpose": "LOCATION",
"city": "Loma Linda",
"state": "CA",
"postal_code": "923542804",
"country_code": "US",
"telephone_number": "909-558-4174",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANEY",
"first_name": "JORDAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-05-13",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A138278",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Loma Linda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.